Individual provider Active NPI

Nikole Rohana Jiggetts, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1043440563
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007173 Issued in VA
Practice address
555 Southlake Blvd Ste C4
North Chesterfield, VA 23236-3060
Phone
(804) 516-4684
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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 0904007173 VA Primary

Addresses

Primary practice location

555 Southlake Blvd Ste C4
North Chesterfield, VA 23236-3060

Mailing address

555 Southlake Blvd Ste C4
North Chesterfield, VA 23236-3060
Phone (804) 516-4684

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

State licenses

LicenseStateTypeSpecialty
0904007173VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Replay Counseling Center, LLC Clinical PastSince Apr 20, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1043440563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD STE C4",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-516-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD STE C4",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-516-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIGGETTS",
        "first_name": "NIKOLE",
        "middle_name": "ROHANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.