Provider Demographics
NPI:1598080509
Name:LIPSTEIN, JENNIFER (LCAT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:LIPSTEIN
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 VAN BUREN AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4142
Mailing Address - Country:US
Mailing Address - Phone:201-401-2781
Mailing Address - Fax:
Practice Address - Street 1:156 BEACH 9TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5636
Practice Address - Country:US
Practice Address - Phone:347-695-9700
Practice Address - Fax:347-695-9701
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001307-1101YM0800X
NJ16LP00020700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health