Healthcare Provider Details

I. General information

NPI: 1417943390
Provider Name (Legal Business Name): SANDRA LIPPY LCSW LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 N 29TH ST
BILLINGS MT
59101-0122
US

IV. Provider business mailing address

PO BOX 219
BILLINGS MT
59103-0219
US

V. Phone/Fax

Practice location:
  • Phone: 406-252-5658
  • Fax: 406-238-3617
Mailing address:
  • Phone: 406-252-5658
  • Fax: 406-238-3617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number832
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number469LCSW
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: