Provider Demographics
NPI:1942918008
Name:BIGGS, JACOB (MSW)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:BIGGS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:KESWICK
Mailing Address - State:VA
Mailing Address - Zip Code:22947-0024
Mailing Address - Country:US
Mailing Address - Phone:434-295-0457
Mailing Address - Fax:
Practice Address - Street 1:500 LITTLE KESWICK LN
Practice Address - Street 2:
Practice Address - City:KESWICK
Practice Address - State:VA
Practice Address - Zip Code:22947-2406
Practice Address - Country:US
Practice Address - Phone:434-295-0457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool