Individual provider Active NPI

Monifa S Jeffrey-Riggins, MSW, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1164703146
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12392 Issued in MD
Practice address
512 Orchard St
Baltimore, MD 21201-1947
Phone
(443) 845-3514
NPI assigned
Sep 2, 2011
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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 12392 MD Primary

Addresses

Primary practice location

512 Orchard St
Baltimore, MD 21201-1947

Mailing address

5730 Cottonworth Ave
Unit 5389
Baltimore, MD 21209-7500
Phone (443) 845-3514

Other identifiers 2

IdentifierTypeStateIssuer
443343200MedicaidMD
BF10-0001OtherCAREFIRST BCBS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12392MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Matters, LLC. Clinical Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1164703146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 COTTONWORTH AVE",
            "address_2": "UNIT 5389",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212097500",
            "telephone_number": "443-845-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ORCHARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011947",
            "telephone_number": "443-845-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY-RIGGINS",
        "first_name": "MONIFA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443343200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "BF10-0001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.