Provider Demographics
NPI:1093059297
Name:RIGGINS, MURIEL G (MA, LSW)
Entity Type:Individual
Prefix:MRS
First Name:MURIEL
Middle Name:G
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:MA, LSW
Other - Prefix:MS
Other - First Name:MURIEL
Other - Middle Name:G
Other - Last Name:JEFFRIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LSW
Mailing Address - Street 1:154 E 213TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1067
Mailing Address - Country:US
Mailing Address - Phone:216-355-7142
Mailing Address - Fax:
Practice Address - Street 1:154 E 213TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1067
Practice Address - Country:US
Practice Address - Phone:216-355-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS 0027149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health