Individual provider Active NPI

Gregory Griffin, LCSW

  • Clinical Social Worker
  • Portsmouth, VA
National Provider Identifier
1609861327
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000811 Issued in VA
Practice address
3300 Academy Ave
Academy Crossing Medical Plaza
Portsmouth, VA 23703-3205
Phone
(757) 483-6404
Fax
(757) 483-0737
NPI assigned
Sep 19, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904000811 VA Primary

Addresses

Primary practice location

3300 Academy Ave
Academy Crossing Medical Plaza
Portsmouth, VA 23703-3205

Mailing address

3300 Academy Ave
Academy Crossing Medical Plaza
Portsmouth, VA 23703-3205
Phone (757) 483-6404

Other identifiers 3

IdentifierTypeStateIssuer
046181OtherVAANTHEM
8905819MedicaidVA
080705OtherVASENTARA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000060 VA Practitioner - Clinical Social Worker 9032240833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Churchland Psychiatric Associates PCGroup PAC ID 5799776654, 17 clinicians

Practice addresses (Care Compare)

4041 Taylor Rd
Suite G
Chesapeake, VA 23321-5525
Phone (757) 483-6404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904000811VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Churchland Psychiatric Associates PC CurrentSince Nov 18, 2017 Accepting new patients
Riverside Physician Services Inc Clinical Past Accepting new patients

Locations

4041 Taylor Rd
Ste G
Chesapeake, VA 23321
Phone (757) 483-6404

3300 Academy Ave
Portsmouth, VA 23703
Phone (757) 483-6404

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609861327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "address_2": "ACADEMY CROSSING MEDICAL PLAZA",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "address_2": "ACADEMY CROSSING MEDICAL PLAZA",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "GREGORY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "046181",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8905819",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "080705",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.