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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAMES ROBERT LIPPOLD, LCSW-0904012388

Active

MR. JAMES ROBERT LIPPOLD, LCSW-0904012388 is a Clinical Social Worker healthcare provider located in VIENNA, Virginia. NPI 1063018992 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VIENNA, VA

Registration Details

NPI Number
1063018992
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2020 (5.6739257980729 yrs)
Last Updated
Dec 7, 2020
License
090412388 (VA)

Practice Information

Address
115 BEULAH ROAD, NE
SUITE 200-B
VIENNA, VA, 22180
Browse VA providers · Browse ZIP 22180
Phone
7032557012
Fax
7032556171
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in VIENNA, VA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.