Provider Demographics
NPI:1407389927
Name:RIGGS, KERRI A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KERRI
Middle Name:A
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:A
Other - Last Name:WYSOCKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5780 SAN GABRIEL DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7527
Mailing Address - Country:US
Mailing Address - Phone:850-565-9510
Mailing Address - Fax:
Practice Address - Street 1:5780 SAN GABRIEL DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7527
Practice Address - Country:US
Practice Address - Phone:850-565-9510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW118831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical