Provider Demographics
NPI:1982963617
Name:RIGG, CATHY ELAINE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ELAINE
Last Name:RIGG
Suffix:
Gender:F
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 1:121 N SCOTLAND ST
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-2534
Mailing Address - Country:US
Mailing Address - Phone:309-333-8353
Mailing Address - Fax:
Practice Address - Street 1:121 N SCOTLAND ST
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-2534
Practice Address - Country:US
Practice Address - Phone:309-333-8353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0151221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical