Provider Demographics
NPI:1043860620
Name:PIPER, KAITLYN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KAITLYN
Middle Name:
Last Name:PIPER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 RIVERHILL CIR APT 715
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8147
Mailing Address - Country:US
Mailing Address - Phone:803-468-8982
Mailing Address - Fax:
Practice Address - Street 1:551 RIVERHILL CIR APT 715
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8147
Practice Address - Country:US
Practice Address - Phone:803-468-8982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker