Healthcare Provider Details

I. General information

NPI: 1447239587
Provider Name (Legal Business Name): DAWN MARIE PIEPER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N HOWE ST
SOUTHPORT NC
28461-3422
US

IV. Provider business mailing address

306 PARK AVENUE EXT
SOUTHPORT NC
28461-2726
US

V. Phone/Fax

Practice location:
  • Phone: 910-457-9462
  • Fax: 910-457-9462
Mailing address:
  • Phone: 910-523-0205
  • Fax: 910-457-9462

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:
Title or Position:
Credential:
Phone: