Healthcare Provider Details

I. General information

NPI: 1902615420
Provider Name (Legal Business Name): JANE MARIE HIPPE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5934 BUCKWHEAT RD
MILFORD OH
45150-2238
US

IV. Provider business mailing address

5934 BUCKWHEAT RD
MILFORD OH
45150-2238
US

V. Phone/Fax

Practice location:
  • Phone: 151-357-5156
  • Fax:
Mailing address:
  • Phone: 151-357-5156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512963
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: