Addison Griffin

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2624081B Issued in VI

Practice address

5030 Anchor Way Ste 9And10
Christiansted, VI 00820-4692

Phone

(340) 719-7007

NPI assigned

Aug 24, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lindsy Wagner LLC

  • Clinical Social Worker
  • Christiansted, VI
  • NPI 1235402611
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1063296424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 ANCHOR WAY STE 9AND10",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204692",
            "telephone_number": "340-719-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 ANCHOR WAY STE 9AND10",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204692",
            "telephone_number": "340-719-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ADDISON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VI",
            "license": "2624081B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Urological Center LLC
• Emmanuel S. Graham, MD
• Greater Changes Technologies
• Chase Greep
• Gregory Pharma Professional LLC
• Jacqueline Lou Griffin, M.ED., L.P.C.
• Zoey Griffin
• Kinara Amina Grresham
• Sara Costello Gunning, BCBA
• Gailann N Guy-Cupid

• Social Worker in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Social Worker in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.