Cleona Marie Griffin
Individual provider Active NPI Clinical Social Worker · Moody Afb, GA
NPI 1528530656 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1528530656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW008041 (GA)
- Practice address
- 3278 Mitchell Blvd
Moody Afb, GA 31699-5246 - Phone
- (229) 257-3898
- NPI assigned
- Dec 31, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008041 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008041 | GA | Yes |
Addresses
Primary practice location
3278 Mitchell Blvd
Moody Afb, GA 31699-5246
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Other practice location 1
3278 Mitchell Blvd
Moody AFB, GA 31699-5246
Phone (229) 257-3898
Other providers in Moody Afb, GA
- Jacob Aaron Freeze
- Adam K Fry
- Jovanna Omari Wilson Gaines
- Kristina Pauline Gardella
- Austin Thomas Geer
- Matthew Thomas Hamrick
- Brenna Katherine Harrington
- Hedera Counseling Center
- Mark William Henderson
- Connor Andrew Henson
All providers in Moody Afb, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.