Provider Demographics
NPI:1447239587
Name:PIEPER, DAWN MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:PIEPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 PARK AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-2726
Mailing Address - Country:US
Mailing Address - Phone:910-523-0205
Mailing Address - Fax:910-457-9462
Practice Address - Street 1:414 N HOWE ST
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-3422
Practice Address - Country:US
Practice Address - Phone:910-457-9462
Practice Address - Fax:910-457-9462
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC137KMOtherBC/BS
NC6002360Medicaid
NC6002360Medicaid