Lipack, Jennifer

Lipack, Jennifer is an sole proprietor health care provider with primary practice located at 107 W Main St , East Islip NY 11730-2337. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lipack, Jennifer can be contacted via phone (631) 666-1615.

Contact Information

Primary practice address
107 W Main St East Islip NY 11730-2337
Phone: (631) 666-1615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23848 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14086 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X 102752 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 004540 New York

Profile Details

NPI number 1427368331
LBN Legal business name Lipack, Jennifer
Credentials LMHC, LMSW, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2010
Last updated Feb 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427368331 NPPES
New York Other LMSW LMSW

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