Active NPI
Jacqueline Biggs Eidt
- Clinical Social Worker
- Natchez, MS
National Provider Identifier
1194997593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C5186
- Practice address
- 604 Jefferson Street
Natchez, MS 39120 - Phone
- (601) 597-2813
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C5186 | MS | Primary |
Addresses
Primary practice location
604 Jefferson Street
Natchez, MS 39120
Mailing address
721 North Pearl Street
5TH Floor
Natchez, MS 39120
Phone (601) 597-2813
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05250769 | Medicaid | MS | |
| C5186 | Other | MS | MS BOARD OF EXAMINERS |
Other names 1
- Jacqueline B Biggs
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
| License | State | Type | Specialty |
|---|---|---|---|
| C5186 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchez Children'S Home Services | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Natchez, MS
- NPI 1083821664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1194997593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 NORTH PEARL STREET",
"address_2": "5TH FLOOR",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "39120",
"telephone_number": "601-597-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 JEFFERSON STREET",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "39120",
"telephone_number": "601-597-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDT",
"first_name": "JACQUELINE",
"middle_name": "BIGGS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C5186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05250769",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS BOARD OF EXAMINERS",
"identifier": "C5186",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "BIGGS",
"middle_name": "B",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.