Provider Demographics
NPI:1376862524
Name:RIGGS, KATHRYN (LMSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6207 WOODSIDE AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3653
Mailing Address - Country:US
Mailing Address - Phone:718-898-5085
Mailing Address - Fax:718-898-5582
Practice Address - Street 1:6207 WOODSIDE AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3653
Practice Address - Country:US
Practice Address - Phone:718-898-5085
Practice Address - Fax:718-898-5582
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075364-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker