Active NPI
Laurie Griffin, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1629623087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7880
- Practice address
- 1849 Bisbee LN
Knoxville, TN 37931-4213 - Phone
- (518) 944-8699
- NPI assigned
- Aug 2, 2019
- Last updated
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW13203 | TN | MD | Social Worker |
| 7880 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Nashville Collaborative Counseling Center
- Clinical Social Worker
- Nashville, TN
- NPI 1144873316
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.