Keeli Maria Rigdon, LCSW, CTRS, CCLS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008428 Issued in GA

Practice address

513 Gloucester St
Brunswick, GA 31520-7014

Phone

(912) 289-2497

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radiant Counseling, LLC

  • Mental Health Counselor
  • Brunswick, GA
  • NPI 1043722705
  NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1851029326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 STEPHENS AVE",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315137006",
            "telephone_number": "912-278-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207014",
            "telephone_number": "912-289-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGDON",
        "first_name": "KEELI",
        "middle_name": "MARIA",
        "credential": "LCSW, CTRS, CCLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based HIPAA compliant health record software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "513 Gloucester St",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315207014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ribbon of Hope
• Richard L Knowles
• Nicholas Scott Richardson, M.D.
• Richmond Healthcare Services LLC
• Jennifer Riemann, R.N.
• Deborah Lillian Riner, C.HT.
• Robin A Rittgers, M.D.
• Sonya Patrice Rivers, LMT
• RMX Brunswick, LLC
• Robert E. Holland, M.D., P.C.

• Clinical Social Worker in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.