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NPI Code Detail

MEDICARE: MS. ZANITA JONELL WIGGINS LCSW

MEDICARE: MS. ZANITA JONELL WIGGINS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP016147NC
21041C0700XClinical Social WorkerC017279NC

General Provider Information

NPI Number : 1417528969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZANITA JONELL WIGGINS LCSW
Provider Business Mailing Address
First Line : 3625 N ELM ST STE 130
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2604
Country : US
Telephone Number : 704-360-3637
Fax Number : 980-939-8769
Provider Business Practice Location Address
First Line : 3625 N ELM ST STE 130
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2604
Country : US
Telephone Number : 704-360-3637
Fax Number : 980-939-8769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 04/22/2026

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