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NPI Code Detail

MEDICARE: YALE LIPSETT LCSW

MEDICARE:   YALE  LIPSETT  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1720894157
Entity Type Code : Individual
Provider Name (Legal Business Name) : YALE LIPSETT LCSW
Provider Business Mailing Address
First Line : 1695 E 21ST ST APT A7
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1695 E 21ST ST APT A7
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5035
Country : US
Telephone Number : 718-252-4375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2024
Last Update Date : 12/10/2024

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Directions to “ YALE LIPSETT LCSW” Practice Location

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