Individual provider Active NPI

Laurie Griffin, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1629623087
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7880 Issued in TN
Practice address
1849 Bisbee LN
Knoxville, TN 37931-4213
Phone
(518) 944-8699
NPI assigned
Aug 2, 2019
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW13203 TN
Clinical Social Worker 1041C0700X 7880 TN Primary

Addresses

Primary practice location

1849 Bisbee LN
Knoxville, TN 37931-4213

Mailing address

1 Vantage Way Ste 210
Nashville, TN 37228-1515
Phone (615) 780-9211

Other practice location 1

920 Lark Dr
Albany, NY 12207-1398
Phone (518) 465-4771 ext. 4645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurie@nashvilleccc.com

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

LicenseStateTypeSpecialty
LSW13203TNMDSocial Worker
7880TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnash Clinical Past Accepting new patients

Organizations & group practices 1

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1629623087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANTAGE WAY STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281515",
            "telephone_number": "615-780-9211",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 BISBEE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314213",
            "telephone_number": "518-944-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Lark Dr",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122071398",
            "country_code": "US",
            "telephone_number": "518-465-4771 x4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LAURIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW13203",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurie@nashvilleccc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1849 Bisbee Ln",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379314213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.