Healthcare Provider Details

I. General information

NPI: 1801549985
Provider Name (Legal Business Name): KRISTIN LIPINSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2022
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR STREET
HARTFORD CT
06103-8000
US

IV. Provider business mailing address

20 WOLF HILL RD UNIT 2H
WOLCOTT CT
06716-2750
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-7200
  • Fax:
Mailing address:
  • Phone: 860-335-2586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12042
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: