Provider Demographics
NPI:1912631516
Name:PIPER, JESSICA (MSW, LSWAIC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:PIPER
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S STILL RD
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3577
Mailing Address - Country:US
Mailing Address - Phone:206-414-8945
Mailing Address - Fax:
Practice Address - Street 1:802 S POINTE BLVD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-5301
Practice Address - Country:US
Practice Address - Phone:504-460-9141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW613627801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical