Provider Demographics
NPI:1295240323
Name:KNIPPER, KELLI NICOLE (MSW, LISW)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:NICOLE
Last Name:KNIPPER
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W RIVERCENTER BLVD APT 1214
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2498
Mailing Address - Country:US
Mailing Address - Phone:513-907-6071
Mailing Address - Fax:
Practice Address - Street 1:4242 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45226-1615
Practice Address - Country:US
Practice Address - Phone:513-440-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
OHI19018031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical