Individual
JAIME E LIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
195 INDUSTRIAL PKWY STE 1, LYNDONVILLE, VT 05851-4511
(802) 748-9501
(802) 748-3420
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-9501
(802) 748-3420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
089-0001216
VT
1041C0700X
Clinical Social Worker
Primary
089.0001216
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014894
—
VT
05
—
3075319
—
NH
Enumeration date
05/05/2008
Last updated
03/18/2022
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