Heather Renee Lipe, LCSW
Social Worker, Clinical in Glen Carbon, IL. Individual provider (NPI-1).
NPI number1164061925
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1164061925
- Entity type
- Individual (NPI-1)
- Name
- Heather Renee Lipe
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2019
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149021886 | IL | Yes |
Practice location
2220 S State Route 157 Ste 200dGlen Carbon, IL 62034-1724
Phone 217-710-6737 · Fax 618-659-5411
Mailing address
2220 S State Route 157 Ste 200dGlen Carbon, IL 62034-1724
Phone 217-710-6737 · Fax 618-659-5411
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