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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW 7314 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Anil M Patel
- Paul Dimarco M.D. P.a.
- Paul S Denker MD PA
- Physician Assistant Billing Specialists
- Renviva Dialysis Center of Clearwater
- Lesley Carter Roach
- George F Rohrmann
- Paola Rojas
- Hanson Philip Sachs
- Muhammad Zubair Saeed Malik
All providers in Belleair, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.