Provider Demographics
NPI:1134138183
Name:RIGGS, KATHRYN DIANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:DIANE
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LCSW
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:734 SILVER SPUR ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3667
Mailing Address - Country:US
Mailing Address - Phone:310-265-7620
Mailing Address - Fax:310-541-2711
Practice Address - Street 1:734 SILVER SPUR ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3667
Practice Address - Country:US
Practice Address - Phone:310-265-7620
Practice Address - Fax:310-541-2711
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS193601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical