Healthcare Provider Details

I. General information

NPI: 1144149816
Provider Name (Legal Business Name): ELLIE LIPTON LICENSED CLINICAL SOCIAL WORKER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 E BROADWAY STE 2
LONG BEACH CA
90803-5817
US

IV. Provider business mailing address

3233 E BROADWAY STE 2
LONG BEACH CA
90803-5817
US

V. Phone/Fax

Practice location:
  • Phone: 206-817-0023
  • Fax:
Mailing address:
  • Phone: 206-817-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH KAUFMAN LIPTON
Title or Position: CLINICAL DIRECTOR
Credential: LCSW, LICSW
Phone: 206-817-0023