Provider Demographics
NPI:1093321572
Name:LIPPER, CATHY G (LCSW, DCSW)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:G
Last Name:LIPPER
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 MCCOY RD UNIT 502
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LKS
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1250
Mailing Address - Country:US
Mailing Address - Phone:201-690-6008
Mailing Address - Fax:
Practice Address - Street 1:720 MCCOY RD UNIT 502
Practice Address - Street 2:
Practice Address - City:FRANKLIN LKS
Practice Address - State:NJ
Practice Address - Zip Code:07417-1250
Practice Address - Country:US
Practice Address - Phone:201-690-6008
Practice Address - Fax:201-690-6007
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NY043060-R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical