Provider Demographics
NPI:1992856686
Name:PIEPER, NANCY B (LCSW, LCAC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:PIEPER
Suffix:
Gender:F
Credentials:LCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 223
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-0223
Mailing Address - Country:US
Mailing Address - Phone:812-933-5540
Mailing Address - Fax:812-933-5034
Practice Address - Street 1:11137 US HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-7901
Practice Address - Country:US
Practice Address - Phone:812-933-5406
Practice Address - Fax:812-933-5034
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000089A101YA0400X
IN34003260A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000200703OtherBLUE SHIELD
IN000000200703OtherBLUE SHIELD