| Debbie Lipshutz Lcsw | |
|
1 Bala Avenue Suite 110 Bala Cynwyd PA 19004-3201 | |
| (215) 432-4339 | |
| (215) 754-4339 |
| Full Name | Debbie Lipshutz Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 1 Bala Avenue, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Debbie S Lipshutz (PRESIDENT) |
| Authorized Official Contact | 2154324339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie Lipshutz Lcsw 6117 Mccallum St Philadelphia PA 19144-2603 Ph: (215) 432-4339 | Debbie Lipshutz Lcsw 1 Bala Avenue Suite 110 Bala Cynwyd PA 19004-3201 Ph: (215) 432-4339 |
| NPI Number | 1447426242 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 7618378795 |
|---|---|
| Medicare Enrollment ID | O20210628000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447426242 | NPI | - | NPPES |
| 1568497089 | Other | PA | INDIVIDUAL NPI (TYPE 1) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Debbie S Lipshutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568497089 PECOS PAC ID: 9436550423 Enrollment ID: I20210629000114 |
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