Provider Demographics
NPI:1952442931
Name:LIPPMAN, CAROL (PHD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:LIPPMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 24TH ST
Mailing Address - Street 2:9D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4011
Mailing Address - Country:US
Mailing Address - Phone:212-924-7542
Mailing Address - Fax:212-924-5009
Practice Address - Street 1:51 E 12TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4682
Practice Address - Country:US
Practice Address - Phone:212-924-7542
Practice Address - Fax:212-924-5009
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-030835-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical