Basic Information
| Provider Information | |||||||||
| NPI: | 1619015443 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIGGINS | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | LEA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13427 COUNTY ROAD 3 | ||||||||
| Address2: | |||||||||
| City: | FAIRHOPE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365325651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2519904211 | ||||||||
| FaxNumber: | 2519280126 | ||||||||
| Practice Location | |||||||||
| Address1: | 372 S GREENO RD | ||||||||
| Address2: | |||||||||
| City: | FAIRHOPE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365321916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2519904211 | ||||||||
| FaxNumber: | 2519280126 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 0826C | AL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | PIP-200-0826C | AL | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.