Kenneth Rigsby, MSW, EDD

Individual provider Active NPI Clinical Social Worker · Belleair, FL

NPI 1679906978 · NPPES record last updated Aug 10, 2013

Key facts

NPI
1679906978
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW 7314 (FL)
Practice address
401 Corbett St
Suite 340B
Belleair, FL 33756-7309
Phone
(727) 674-5250
NPI assigned
Aug 10, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ISW 7314FLMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW 7314 FL Yes

Addresses

Primary practice location

401 Corbett St
Suite 340B
Belleair, FL 33756-7309

Mailing address

190 112TH Ave N
#1322
Saint Petersburg, FL 33716-3277
Phone (727) 674-5250

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2013.

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376092800000",
    "number": "1679906978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 112TH AVE N",
            "address_2": "#1322",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163277",
            "telephone_number": "727-674-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST",
            "address_2": "SUITE 340B",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337567309",
            "telephone_number": "727-674-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGSBY",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MSW, EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-10",
        "last_updated": "2013-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 7314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair, FL

All providers in Belleair, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.