Provider Demographics
NPI:1376868547
Name:LIPSKY, ANDREW J (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:J
Last Name:LIPSKY
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3102
Mailing Address - Country:US
Mailing Address - Phone:781-248-5394
Mailing Address - Fax:508-626-4628
Practice Address - Street 1:100 STATE ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2499
Practice Address - Country:US
Practice Address - Phone:508-626-4640
Practice Address - Fax:508-626-4628
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1132831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical