Provider Demographics
NPI:1407927627
Name:RIGGS, MICHELLE L (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 E MARKET ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2935
Mailing Address - Country:US
Mailing Address - Phone:812-945-5121
Mailing Address - Fax:812-945-5490
Practice Address - Street 1:918 E MARKET ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2935
Practice Address - Country:US
Practice Address - Phone:812-945-5121
Practice Address - Fax:812-945-5490
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003967A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical