Provider Demographics
NPI:1215423223
Name:WIGGINS, JAMES (LMSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:WIGGINS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 SW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1904
Mailing Address - Country:US
Mailing Address - Phone:785-215-6422
Mailing Address - Fax:785-274-3820
Practice Address - Street 1:1365 N CUSTER ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-6694
Practice Address - Country:US
Practice Address - Phone:316-942-4261
Practice Address - Fax:316-943-9995
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8271104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker