| Judith Ellen Wiggins, LCSW | |
|
1753 Ringling Blvd, Sarasota, FL 34236-6874 | |
| (941) 366-2224 | |
| (941) 366-2982 |
| Full Name | Judith Ellen Wiggins |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 1753 Ringling Blvd, Sarasota, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730375338 | NPI | - | NPPES |
| 11788409 | Other | IL | CAQH PROVIDER ID |
| 001870500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13039 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center Of Revitalizing Psychiatry, P.c. | 0648239988 | 39 |
| Bradenton Counseling Center Inc | 7012199565 | 5 |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Entity Name | Jewish Family & Childrens Service Of The Suncoast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457383861 PECOS PAC ID: 4587643168 Enrollment ID: O20040716000820 |
| Entity Name | Bradenton Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639472939 PECOS PAC ID: 7012199565 Enrollment ID: O20110304000710 |
| Entity Name | Center Of Revitalizing Psychiatry, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356497960 PECOS PAC ID: 0648239988 Enrollment ID: O20120508000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Ellen Wiggins, LCSW 3810 75th St W Unit 117, Bradenton, FL 34209-5856 Ph: (815) 210-3348 | Judith Ellen Wiggins, LCSW 1753 Ringling Blvd, Sarasota, FL 34236-6874 Ph: (941) 366-2224 |
Shannon Gerard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 N Cattlemen Rd Apt 306, Sarasota, FL 34232 Phone: 941-356-3656 | |
Mr. Clifford Elliot Hoberman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1991 Hyde Park St, Sarasota, FL 34239 Phone: 941-953-4313 Fax: 941-954-8631 | |
Karen Lord, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2688 Fruitville Rd, Sarasota, FL 34237 Phone: 941-366-2224 | |
Jenny Marie Sandate, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 Cantu Ct Ste 104, Sarasota, FL 34232 Phone: 941-999-7485 | |
Deborah S Kaufman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2100 Constitution Blvd, Sarasota, FL 34231 Phone: 941-539-1925 Fax: 941-927-2144 | |
Ms. Karen R Koenig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5011 Windsor Park, Sarasota, FL 34235 Phone: 941-379-9849 Fax: 941-379-9849 | |
Deborah J Ballantine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1590 Siesta Dr, Sarasota, FL 34239 Phone: 516-314-9838 |