Provider Demographics
NPI:1477315984
Name:DIGGS, JORDYN (LICSW)
Entity Type:Individual
Prefix:
First Name:JORDYN
Middle Name:
Last Name:DIGGS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3598 WIND RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4841
Mailing Address - Country:US
Mailing Address - Phone:910-309-5580
Mailing Address - Fax:
Practice Address - Street 1:3598 WIND RIDGE LN
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4841
Practice Address - Country:US
Practice Address - Phone:910-309-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5598C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical