Provider Demographics
NPI:1568497089
Name:LIPSHUTZ, DEBBIE S (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:S
Last Name:LIPSHUTZ
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 1:6117 MCCALLUM ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-2603
Mailing Address - Country:US
Mailing Address - Phone:215-432-4339
Mailing Address - Fax:215-754-4339
Practice Address - Street 1:1 BALA AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3201
Practice Address - Country:US
Practice Address - Phone:215-432-4339
Practice Address - Fax:215-754-4339
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014155106H00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist