AMY J. LIPKA (LISW) – Clinical Social Worker, NPI 1194172353

AMY J. LIPKA (LISW) is a healthcare provider. based in Lakewood, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. I.1600225 (OH). The NPI Number for AMY J. LIPKA (LISW) is 1194172353

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
AMY J. LIPKA (LISW)
NPI
1194172353
Phone
(216) 406-4368
Address
17222 CLIFTON BLVD
Enumeration Date
18 May 2016
Last Update Date
18 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404601000
Graduation Year
1996 (30 years ago)
PAC ID
8628369121
Group Practice PAC ID
1658633292
Professional Enrollment ID
I20160613002253
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for AMY J. LIPKA (LISW)

  • 17222, Clifton Boulevard, Clifton Park, Lakewood, Cuyahoga County, Ohio, 44107, United States

    LAKEWOOD, OH 441072364

    Phone: (216) 406-4368

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160613002253IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658633292View full group profile
NameSpecialtyState
Mental Health CounselorFL
-OH
-TX
Mental Health CounselorIN
Mental Health CounselorMA
Clinical PsychologistTX
Clinical Social WorkerIL
-OH
Clinical PsychologistMA
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do payers reference AMY J. LIPKA (LISW)?
For AMY J. LIPKA (LISW), use NPI 1194172353 as the unique 10-digit identifier.
Would AMY J. LIPKA (LISW) appear as active to a payer?
You can treat AMY J. LIPKA (LISW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe AMY J. LIPKA (LISW)'s focus?
For AMY J. LIPKA (LISW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is AMY J. LIPKA (LISW) associated with Lakewood?
Public fields place AMY J. LIPKA (LISW) around Lakewood, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for AMY J. LIPKA (LISW) is noted as May 18, 2016 where the registry provides it.

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