Provider Demographics
NPI:1902990849
Name:PIEPER, LESLIE (LCSW, LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:PIEPER
Suffix:
Gender:F
Credentials:LCSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1611
Mailing Address - Country:US
Mailing Address - Phone:402-432-4188
Mailing Address - Fax:
Practice Address - Street 1:1951 DEVONSHIRE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1611
Practice Address - Country:US
Practice Address - Phone:402-432-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11781041C0700X
NE993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4708412506Medicaid
NE10025696000Medicaid
NE10025696000Medicaid
NEQ53127Medicare UPIN