Provider Demographics
NPI:1437236981
Name:LIPNICK, BRIAN A (LCSW/LIMHP)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:A
Last Name:LIPNICK
Suffix:
Gender:M
Credentials:LCSW/LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14924 BINNEY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-8184
Mailing Address - Country:US
Mailing Address - Phone:402-393-0163
Mailing Address - Fax:402-393-7187
Practice Address - Street 1:10040 REGENCY CIR STE 250
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3738
Practice Address - Country:US
Practice Address - Phone:402-393-0163
Practice Address - Fax:402-393-7187
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE265444Medicare ID - Type Unspecified