MEDICARE: JOEL ANTHONY PIEPER LCSW, QS

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	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	SW23368	FL

General Provider Information

NPI Number	:	1932652260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL ANTHONY PIEPER LCSW, QS

Provider Business Mailing Address
First Line	:	4223 VILLA RAPALLO WAY
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33917-2001
Country	:	US
Telephone Number	:	407-634-9634
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 SE 46TH LN STE 5
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-8684
Country	:	US
Telephone Number	:	239-342-2141
Fax Number	:	239-504-1677

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

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	03/24/2026

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