Provider Demographics
NPI:1073048401
Name:LIPMAN, SARA ZAMBRELLI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ZAMBRELLI
Last Name:LIPMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 E 76TH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2755
Mailing Address - Country:US
Mailing Address - Phone:917-881-7977
Mailing Address - Fax:
Practice Address - Street 1:52 E 76TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2755
Practice Address - Country:US
Practice Address - Phone:917-881-7977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082219-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical