Provider Demographics
NPI:1821650250
Name:RIGGS, WILLIAM CLAYTON (LCPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CLAYTON
Last Name:RIGGS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 WILSON AVE
Mailing Address - Street 2:STE D
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-4307
Mailing Address - Country:US
Mailing Address - Phone:208-204-0779
Mailing Address - Fax:208-204-0878
Practice Address - Street 1:1261 WILSON AVE
Practice Address - Street 2:STE D
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-4307
Practice Address - Country:US
Practice Address - Phone:208-204-0779
Practice Address - Fax:208-204-0878
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-06
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID83219011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical