Jillian L Griffin, LCSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9781 Issued in CT

Practice address

300 Church St Ste 204
Wallingford, CT 06492-2253

Phone

(203) 314-0940

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Medicare reassignment NPD
• Inspire Recovery LLC

  • Mental Health Counselor
  • Wallingford, CT
  • NPI 1265934103

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Waterview Clinical Services LLC

  dba Waterview Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yalesville, CT
  • NPI 1013854728
  NPD Authorized official
• Waterview Clinical Services LLC

  dba Waterview Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yalesville, CT
  • NPI 1437918497

  Addiction (Substance Use Disorder)

  NPD Authorized official
• CT Healing Center

  • Community/Behavioral Health Agency
  • Cheshire, CT
  • NPI 1477852853
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1649790411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST STE 204",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-314-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST STE 204",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-314-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065141147",
            "country_code": "US",
            "telephone_number": "203-288-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Way Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Middlefield",
            "state": "CT",
            "postal_code": "064553007",
            "country_code": "US",
            "telephone_number": "203-314-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JILLIAN",
        "middle_name": "L",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1172",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Rebecca Green, MA, CCC-SLP
• Randy Jay Greenberg, D.M.D. F.A.G.D.
• Stephen James Greenberg, DMD
• Michael M. Greenwald, D.D.S.
• Daniella Grieco, LCSW
• Jennifer Grimsley, LCSW
• Renee Kathryn Guba, PT
• Jacquelyne Michelle Guerra, DNP, FNP-C
• Aynsley Guertin, MSED, BCBA
• Guiding Path Counseling

• Clinical Social Worker in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.