Provider Demographics
NPI:1932659034
Name:RIGGS, SHONNA EVETTE (LMSW)
Entity Type:Individual
Prefix:
First Name:SHONNA
Middle Name:EVETTE
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 1:9244 WORTHINGTON LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2726
Mailing Address - Country:US
Mailing Address - Phone:504-957-5562
Mailing Address - Fax:
Practice Address - Street 1:9244 WORTHINGTON LAKE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2726
Practice Address - Country:US
Practice Address - Phone:504-957-5562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
LA14759104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician