Individual provider Active NPI

Hailey Louise Rigdon, MSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1619855962
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20786 Issued in FL
Practice address
1550 Landon Ave
Jacksonville, FL 32207-8670
Phone
(904) 588-2550
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 20786 FL Primary

Addresses

Primary practice location

1550 Landon Ave
Jacksonville, FL 32207-8670

Mailing address

1550 Landon Ave
Jacksonville, FL 32207-8670
Phone (904) 588-2550

Other practice location 1

2511 Saint Johns Bluff Rd S Ste 101
Jacksonville, FL 32246-2344
Phone (904) 588-2550

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
20786FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1619855962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 LANDON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078670",
            "telephone_number": "904-588-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 LANDON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078670",
            "telephone_number": "904-588-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 Saint Johns Bluff Rd S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322462344",
            "country_code": "US",
            "telephone_number": "904-588-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGDON",
        "first_name": "HAILEY",
        "middle_name": "LOUISE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.