Individual
MS. DIANE G LIPSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
276 ALDEN RD, FAIRHAVEN, MA 02719
(508) 992-1960
(508) 999-5735
Mailing address
276 ALDEN RD, FAIRHAVEN, MA 02719
(508) 992-1960
(508) 999-5735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1019487
MA
1041C0700X
Clinical Social Worker
Primary
1019487
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853490
—
MA
Enumeration date
08/02/2006
Last updated
03/20/2025
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