Active NPI
Ronald Anthony Griffin, LMSW
- Social Worker
- Rochester, MN
National Provider Identifier
1609138148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20019
- Practice address
- 1500 1St Ave NE
Suite 111F
Rochester, MN 55906-4170 - Phone
- (507) 513-0239
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 20019 | MN | Primary |
Addresses
Primary practice location
1500 1St Ave NE
Suite 111F
Rochester, MN 55906-4170
Mailing address
1500 1St Ave NE
Suite 111F
Rochester, MN 55906-4170
Phone (507) 513-0239
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20019 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1609138148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 1ST AVE NE",
"address_2": "SUITE 111F",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559064170",
"telephone_number": "507-513-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 1ST AVE NE",
"address_2": "SUITE 111F",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559064170",
"telephone_number": "507-513-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "RONALD",
"middle_name": "ANTHONY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "20019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.