Individual provider Active NPI

Jessica Griffin

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1639622897
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118277 Issued in MI
Practice address
304 W Tobias St
Flint, MI 48503-3975
Phone
(810) 233-4093
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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
Clinical Social Worker 1041C0700X 6801118277 MI Primary

Addresses

Primary practice location

304 W Tobias St
Flint, MI 48503-3975

Mailing address

304 W Tobias St
Flint, MI 48503-3975
Phone (810) 233-4093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240520001215 MI Practitioner - Clinical Social Worker 7719329903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alternative Community Living IncGroup PAC ID 6608864350, 16 clinicians

Practice addresses (Care Compare)

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024

G3169 Beecher Rd
Flint, MI 48532-3611
Phone (810) 232-2766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Living, Inc. Community Based Residential Treatment Facility, Mental Illness CurrentSince Apr 15, 2024 Accepting new patients
Alternative Community Living, Inc. Community Based Residential Treatment Facility, Mental Illness Current Accepting new patients
Alternative Community Living, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Alternative Community Living, Inc. Community Based Residential Treatment Facility, Mental Illness Past Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients

Locations

1110 Eldon Baker Dr
Flint, MI 48507
Phone (810) 213-1803

304 W Tobias St
Flint, MI 48503
Phone (810) 233-4093

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103

1213 S Washington Ave
Saginaw, MI 48601
Phone (989) 401-9015

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1639622897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W TOBIAS ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033975",
            "telephone_number": "810-233-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W TOBIAS ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033975",
            "telephone_number": "810-233-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.