Individual provider Active NPI

Kasey Noelle Wiggam, LCSW, LSSW

  • Clinical Social Worker
  • Noblesville, IN
National Provider Identifier
1295493492
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99107579A Issued in IN
Practice address
136 S 9TH St Ste 206
Noblesville, IN 46060-2600
Phone
(317) 447-4788
NPI assigned
Dec 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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 99107579A IN Primary

Addresses

Primary practice location

136 S 9TH St Ste 206
Noblesville, IN 46060-2600

Mailing address

5731 Castle Hill Dr Apt 726
Indianapolis, IN 46250-5605

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
99107579AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kasey Wiggam LLC Current 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": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1295493492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 CASTLE HILL DR APT 726",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S 9TH ST STE 206",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602600",
            "telephone_number": "317-447-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGAM",
        "first_name": "KASEY",
        "middle_name": "NOELLE",
        "credential": "LCSW, LSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99107579A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.