Provider Demographics
NPI:1063204295
Name:BIPPERT, DIANNE R (LCSW S)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:R
Last Name:BIPPERT
Suffix:
Gender:F
Credentials:LCSW S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3526
Mailing Address - Country:US
Mailing Address - Phone:214-597-0215
Mailing Address - Fax:
Practice Address - Street 1:329 HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3526
Practice Address - Country:US
Practice Address - Phone:214-597-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical