Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alysa Kipersztok

Individual provider Clinical Social Worker · NPI 1649880568

Alysa Kipersztok is a Clinical Social Worker in Longmont, Colorado. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

529 Coffman St
Longmont, CO 80501-5450
Phone: (303) 443-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1755 48th St Ste 200t, Boulder, CO 80301-2711 — (303) 415-4299

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09929903 (CO)

Record details

NPI number1649880568
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address1842 Spruce Ave, Longmont, CO 80501-4764

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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