Provider Demographics
NPI:1366794091
Name:LIPPE, SYLVIA (LCADC)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:
Last Name:LIPPE
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4110
Mailing Address - Country:US
Mailing Address - Phone:973-538-5260
Mailing Address - Fax:973-538-3194
Practice Address - Street 1:62 ELM ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4110
Practice Address - Country:US
Practice Address - Phone:973-538-5260
Practice Address - Fax:973-538-3194
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00010100101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)