Provider Demographics
NPI:1649239047
Name:PIGGOTT, PATRICK O'NEAL (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:O'NEAL
Last Name:PIGGOTT
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 BRIMS WAY
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4776
Mailing Address - Country:US
Mailing Address - Phone:919-772-4742
Mailing Address - Fax:
Practice Address - Street 1:317 BRIMS WAY
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4776
Practice Address - Country:US
Practice Address - Phone:919-772-4742
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0033421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical