Provider Demographics
NPI:1336384924
Name:RIGBY, MICHAEL L (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:RIGBY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-2118
Mailing Address - Country:US
Mailing Address - Phone:435-723-2881
Mailing Address - Fax:435-734-2719
Practice Address - Street 1:120 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-2118
Practice Address - Country:US
Practice Address - Phone:435-723-2881
Practice Address - Fax:435-734-2719
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14178635011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical