Provider Demographics
NPI:1912046483
Name:PIPMAN, CELINA (SW)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:PIPMAN
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 HORSESHOE CIR APT 5
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2031
Mailing Address - Country:US
Mailing Address - Phone:914-941-0371
Mailing Address - Fax:914-432-5980
Practice Address - Street 1:73 CROTON AVE STE 105
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4973
Practice Address - Country:US
Practice Address - Phone:914-432-5980
Practice Address - Fax:914-432-5980
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR048300-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3664382OtherOXFORD PIN
NY7501882OtherAETNA PIN