Active NPI
Willard Henry Griffin Jr., LMSW-CC
- Social Worker
- Portland, ME
National Provider Identifier
1023327327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC12584
- Practice address
- 470 Forest Ave
Suite 202
Portland, ME 04101-2009 - Phone
- (207) 774-3570
- NPI assigned
- Oct 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MC12584 | ME | Primary |
Addresses
Primary practice location
470 Forest Ave
Suite 202
Portland, ME 04101-2009
Mailing address
30 Shore Rd
Lyman, ME 04002-6957
Phone (207) 251-0488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC12584 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1023327327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SHORE RD",
"city": "LYMAN",
"state": "ME",
"postal_code": "040026957",
"telephone_number": "207-251-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 FOREST AVE",
"address_2": "SUITE 202",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012009",
"telephone_number": "207-774-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "WILLARD",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC12584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.