Provider Demographics
NPI:1447432034
Name:LIPPMANN, DANIEL B (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:LIPPMANN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1807 S WASHINGTON ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2446
Mailing Address - Country:US
Mailing Address - Phone:630-355-7250
Mailing Address - Fax:630-548-1755
Practice Address - Street 1:1000 MAPLE AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4965
Practice Address - Country:US
Practice Address - Phone:630-960-2887
Practice Address - Fax:630-548-1755
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2008-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0036611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical