Individual provider Active NPI

Shantizia N Figgs, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1023615192
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17626 Issued in FL
Practice address
50 N Laura St
Jacksonville, FL 32202-3664
Phone
(904) 566-3448
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17626 FL Primary

Addresses

Primary practice location

50 N Laura St
Jacksonville, FL 32202-3664

Mailing address

50 N Laura St Ste 2500
Jacksonville, FL 32202-3646
Phone (904) 566-3448

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Jacksonville

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1023615192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST STE 2500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023646",
            "telephone_number": "904-566-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023664",
            "telephone_number": "904-566-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGGS",
        "first_name": "SHANTIZIA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "endpointDescription": "Address",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1843 Morgana Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322114110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.