Active NPI
Ezkiel Griffin
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1407219116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112581
- Practice address
- 1027 Wilshire Blvd Apt 705
Los Angeles, CA 90017-3126 - Phone
- (347) 526-5354
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112581 | CA | Primary |
Addresses
Primary practice location
1027 Wilshire Blvd Apt 705
Los Angeles, CA 90017-3126
Mailing address
1027 Wilshire Blvd Apt 705
Los Angeles, CA 90017-3126
Phone (347) 526-5354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14461 Roosevelt Ave
Flushing, NY 11354-6252
Phone 71893987001311
The Shield Institute
Flushing, NY 11354-6252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112581 | CA | MD | Marriage & Family Therapist |
Organizations & group practices 3
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.
-
- Clinic/Center
- Bayside, NY
- NPI 1184661290
-
- Contractor
- New Hyde Park, NY
- NPI 1871966515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1407219116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 WILSHIRE BLVD APT 705",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173126",
"telephone_number": "347-526-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 WILSHIRE BLVD APT 705",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173126",
"telephone_number": "347-526-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "EZKIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.