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NPI Code Detail

MEDICARE: DOREE LIPSON, LCSW PC

MEDICARE: DOREE LIPSON, LCSW PC
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker0769941NY

General Provider Information

NPI Number : 1659767192
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOREE LIPSON, LCSW PC
Provider Business Mailing Address
First Line : 257 MAIN ST
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-1610
Country : US
Telephone Number :
Fax Number : 888-965-3942
Provider Business Practice Location Address
First Line : 257 MAIN ST
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-1610
Country : US
Telephone Number : 845-532-6064
Fax Number : 888-965-3942
Authorized Official
Title or Position : PRESIDENT
Name : DOREE LIPSON
Credential : LCSW-R
Telephone Number : 845-532-6064
Provider Enumeration Date : 04/11/2015
Last Update Date : 03/02/2022

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