Healthcare Provider Details

I. General information

NPI: 1629944483
Provider Name (Legal Business Name): JEFFREY D. PIPER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 CLAYTON RD STE 100
SAINT LOUIS MO
63124-1685
US

IV. Provider business mailing address

9890 CLAYTON RD STE 100
SAINT LOUIS MO
63124-1685
US

V. Phone/Fax

Practice location:
  • Phone: 314-361-5983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JEFF D PIPER
Title or Position: OWNER
Credential: SW
Phone: 314-361-5983