MEDICARE: CAROLINE HIPPLER LCP, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC11731	MD

General Provider Information

NPI Number	:	1518402163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE HIPPLER LCP, NCC

Provider Business Mailing Address
First Line	:	3728 FAIT AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-4327
Country	:	US
Telephone Number	:	734-846-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3728 FAIT AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-4327
Country	:	US
Telephone Number	:	734-846-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2017
Last Update Date	:	09/30/2024

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