Thomas B. Kiggins, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007186 Issued in NC

Practice address

639 Creekway Cir SE
Bolivia, NC 28422-8266

Phone

(910) 880-9905

NPI assigned

Dec 6, 2006

Last updated

Dec 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1114086329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 BUSINESS 17 E",
            "address_2": "PO BOX 409",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228666",
            "telephone_number": "910-880-9905",
            "fax_number": "910-253-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 CREEKWAY CIR SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228266",
            "telephone_number": "910-880-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGGINS",
        "first_name": "THOMAS",
        "middle_name": "B.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Angelina Johnston, LCSW-C
• Catalina Jordan, MS CCC-SLP
• Mark Vernon Jordan, MD
• Ryan Jordanhazy, M.D.
• Susan Beth Kam, M.A., LPA
• Sarah Howell Kinsley
• Misty Kay Kirkpatrick, MA,CCC-SLP
• Ann M. Koehler, SLP
• David John Koenig, MD
• Sarah Beth Koenigseker, CNM

• Clinical Social Worker in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.