Provider Demographics
NPI:1154933018
Name:SIGGINS, THOMAS HUNTER (ACSW)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:HUNTER
Last Name:SIGGINS
Suffix:
Gender:M
Credentials:ACSW
Other - Prefix:
Other - First Name:TOMMY
Other - Middle Name:
Other - Last Name:SIGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5252 BALBOA AVE STE 408
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6939
Mailing Address - Country:US
Mailing Address - Phone:858-333-6856
Mailing Address - Fax:
Practice Address - Street 1:5252 BALBOA AVE STE 408
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6939
Practice Address - Country:US
Practice Address - Phone:858-333-6856
Practice Address - Fax:858-999-2014
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA175T00000X
390200000X
CA1082181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No175T00000XOther Service ProvidersPeer Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program