Active NPI
Shana Jean Griffith, LLMSW
- Clinical Social Worker
- Richmond, MI
National Provider Identifier
1124437124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801097236
- Practice address
- 400 Stoddard Rd
Richmond, MI 48062-2505 - Phone
- (810) 392-2167
- Fax
- (810) 392-3530
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801097236 | MI | Primary |
Addresses
Primary practice location
400 Stoddard Rd
Richmond, MI 48062-2505
Mailing address
400 Stoddard Rd
Richmond, MI 48062-2505
Phone (810) 392-2167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700 | Other | MI | TAXONOMY # LLMSW |
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 |
|---|---|---|---|
| 6801097236 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Rehabilitation Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Port Huron, MI
- NPI 1891828158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1124437124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STODDARD RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480622505",
"telephone_number": "810-392-2167",
"fax_number": "810-392-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 STODDARD RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480622505",
"telephone_number": "810-392-2167",
"fax_number": "810-392-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "SHANA",
"middle_name": "JEAN",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY # LLMSW",
"identifier": "1041C0700",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.