Coreyanne L Griffin, LICSW, PMH-C, SUDP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LW60819530 Issued in WA

Practice address

5931 140TH St SE
Everett, WA 98208-9444

Phone

(425) 298-5583

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1306375563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE STE 303A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013586",
            "telephone_number": "425-298-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 140TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089444",
            "telephone_number": "425-298-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "COREYANNE",
        "middle_name": "L",
        "credential": "LICSW, PMH-C, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006101",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60491426",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60819530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790826600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Grey, MSN, RN, PMHNP-BC
• Roxanne Rosalie Gridley
• Dianne Lynn Grieser, PHD
• Ashley L Grieve
• Carly Elisabeth Griffin
• Delores Griffin
• Kimberly Griffin
• Kirsti Griffin, PT
• Sarah Lynn Griffin, M.A., LMHC
• Justine Ann Griffith, FNP-C

• Social Worker in Everett, WA
• Providers in Everett, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.