Healthcare Provider Details

I. General information

NPI: 1104194265
Provider Name (Legal Business Name): JERROLD RAY TIGGETT LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2011
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 1ST AVE NW
HICKORY NC
28601-6122
US

IV. Provider business mailing address

327 1ST AVE NW
HICKORY NC
28601-6122
US

V. Phone/Fax

Practice location:
  • Phone: 828-695-5900
  • Fax: 828-695-4256
Mailing address:
  • Phone: 828-695-5900
  • Fax: 828-695-4256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC007153
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: