Healthcare Provider Details

I. General information

NPI: 1366323735
Provider Name (Legal Business Name): CASSANDRA JEAN PIPHER LSW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W MCPHERSON HWY
CLYDE OH
43410-1133
US

IV. Provider business mailing address

25 JEFFERSON ST
BLOOMVILLE OH
44818-8303
US

V. Phone/Fax

Practice location:
  • Phone: 833-762-1013
  • Fax:
Mailing address:
  • Phone: 419-677-9022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2105818
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: