Basic Information
| Provider Information | |||||||||
| NPI: | 1669627618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHIGLEY | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4126 LAKE LYNN DR | ||||||||
| Address2: | APT 102 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276133452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196307434 | ||||||||
| FaxNumber: | 9197849184 | ||||||||
| Practice Location | |||||||||
| Address1: | 3801 LAKE BOONE TRL | ||||||||
| Address2: | SUITE 320 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276072934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192914724 | ||||||||
| FaxNumber: | 9197849184 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2008 | ||||||||
| LastUpdateDate: | 11/18/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C006159 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.