Griffin, Gregory

Griffin, Gregory is an individual health care provider with primary practice located at 3300 Academy Ave Academy Crossing Medical Plaza, Portsmouth VA 23703-3205. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Griffin, Gregory can be contacted via phone (757) 483-6404.

Contact Information

Primary practice address
3300 Academy Ave Academy Crossing Medical Plaza Portsmouth VA 23703-3205
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000811 Virginia

Profile Details

NPI number 1609861327
LBN Legal business name Griffin, Gregory
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609861327 NPPES
Virginia MEDICAID 8905819
Virginia Other 046181
Virginia Other 080705

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