Provider Demographics
NPI:1326211756
Name:PIPER, ROBERT K (LMSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:K
Last Name:PIPER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 W STADIUM BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4577
Mailing Address - Country:US
Mailing Address - Phone:734-995-1941
Mailing Address - Fax:
Practice Address - Street 1:1817 W STADIUM BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4577
Practice Address - Country:US
Practice Address - Phone:734-995-1941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010466031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI750910829OtherBCBSM
MI230259Medicare PIN