Provider Demographics
NPI:1477614824
Name:RIGEL, JAMES M (MDIV, MSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:RIGEL
Suffix:
Gender:M
Credentials:MDIV, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BLACKWELL RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-4201
Mailing Address - Country:US
Mailing Address - Phone:609-737-1996
Mailing Address - Fax:
Practice Address - Street 1:1925 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-1105
Practice Address - Country:US
Practice Address - Phone:609-882-2288
Practice Address - Fax:609-882-7806
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC010203001041C0700X
NJ1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool