1457415267 NPI number — MRS. CATHERINE COOK RIGGS L.C.S.W.

Table of content: MRS. CATHERINE COOK RIGGS L.C.S.W. (NPI 1457415267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457415267 NPI number — MRS. CATHERINE COOK RIGGS L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIGGS
Provider First Name:
CATHERINE
Provider Middle Name:
COOK
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COOK
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
LYNNE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.C.S.W.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457415267
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 233
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKY GAP
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24366-0233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-307-7231
Provider Business Mailing Address Fax Number:
276-385-7429

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
677 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAZEWELL
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24651-5401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-307-7231
Provider Business Practice Location Address Fax Number:
276-385-7429
Provider Enumeration Date:
12/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  0904003305 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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