Provider Demographics
NPI:1639794217
Name:PIPER, KYLIE (LCSW)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:
Last Name:PIPER
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 1:7417 KINGSTON PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5616
Mailing Address - Country:US
Mailing Address - Phone:865-657-7357
Mailing Address - Fax:
Practice Address - Street 1:7417 KINGSTON PIKE STE 105
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5616
Practice Address - Country:US
Practice Address - Phone:865-657-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN130921041C0700X
TN88801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical