Active NPI
Christopher John Griffith, LCSW
- Clinical Social Worker
- Worcester, MA
National Provider Identifier
1467775940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119060
- Practice address
- 5 Neponset St
Worcester, MA 01606-2714 - Phone
- (978) 466-3208
- Fax
- (508) 556-6139
- NPI assigned
- Mar 11, 2010
- 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 | 119060 | MA | Primary |
Addresses
Primary practice location
5 Neponset St
Worcester, MA 01606-2714
Mailing address
635 James St
Syracuse, NY 13203-2226
Phone (716) 450-3675
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080387 | NY | MD | Social Worker |
| 119060 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1467775940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "716-450-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 NEPONSET ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "978-466-3208",
"fax_number": "508-556-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.