Provider Demographics
NPI:1427708155
Name:LIPNITSKY, JANE YEVGENIYA (MA, MSED, LMHC)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:YEVGENIYA
Last Name:LIPNITSKY
Suffix:
Gender:F
Credentials:MA, MSED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PARK AVE FL 20
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9306
Mailing Address - Country:US
Mailing Address - Phone:347-705-3007
Mailing Address - Fax:
Practice Address - Street 1:2 PARK AVE FL 20
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9306
Practice Address - Country:US
Practice Address - Phone:347-705-3007
Practice Address - Fax:646-558-4248
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health