Provider Demographics
NPI:1164586517
Name:PIEPER, PAULA R (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:R
Last Name:PIEPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:R
Other - Last Name:ZIEGEMEIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:311 BITTERSWEET DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-1659
Mailing Address - Country:US
Mailing Address - Phone:636-980-2389
Mailing Address - Fax:
Practice Address - Street 1:734 W MONROE ST
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-1970
Practice Address - Country:US
Practice Address - Phone:573-582-0292
Practice Address - Fax:573-581-6036
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW 0045791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical