Provider Demographics
NPI:1164559225
Name:ARMSTRONG, KIPP S (LICSW)
Entity Type:Individual
Prefix:
First Name:KIPP
Middle Name:S
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-9618
Mailing Address - Country:US
Mailing Address - Phone:413-584-4569
Mailing Address - Fax:
Practice Address - Street 1:182 MAIN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3264
Practice Address - Country:US
Practice Address - Phone:413-584-0445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10273691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical