Tamara L Griffiths, CSW

Individual provider Active NPI Clinical Social Worker · Darlington, WI

NPI 1285951756 · NPPES record last updated Apr 23, 2010

Key facts

NPI
1285951756
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
8840-120 (WI)
Practice address
627 Main St
Darlington, WI 53530-1395
Phone
(608) 776-4800
Fax
(608) 776-4914
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8840-120WIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8840-120 WI Yes

Addresses

Primary practice location

627 Main St
Darlington, WI 53530-1395

Mailing address

627 Main St
Darlington, WI 53530-1395
Phone (608) 776-4800

Other identifiers

IdentifierTypeStateIssuer
42139000MedicaidWI

Other providers in Darlington, WI

All providers in Darlington, WI · Clinical Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.