Individual provider Active NPI

Michele Tamsen Griffith, LCSW

  • Clinical Social Worker
  • Maitland, FL
National Provider Identifier
1689086225
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22987 Issued in FL
Practice address
260 Lookout PL Ste 101
Maitland, FL 32751-4485
Phone
(833) 769-3524
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-6303T AZ
Clinical Social Worker 1041C0700X 5030 KS
Clinical Social Worker 1041C0700X SW22987 FL Primary

Addresses

Primary practice location

260 Lookout PL Ste 101
Maitland, FL 32751-4485

Mailing address

509 N Cedar St
Marion, KS 66861-1367
Phone (620) 344-0472

Other practice location 1

509 N Cedar St
Marion, KS 66861-1367
Phone (620) 344-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20250207002937 FL Practitioner - Clinical Social Worker 5193154847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-6303TAZMDClinical Social Worker
5030KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Feb 17, 2025 Accepting new patients
Lifestance Health CurrentSince Jan 12, 2025 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Feb 8, 2023 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Oct 29, 2002 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

260 Lookout Pl
Ste 101
Maitland, FL 32751
Phone (407) 537-9450

Organizations & group practices 4

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1689086225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N CEDAR ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611367",
            "telephone_number": "620-344-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Cedar St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "KS",
            "postal_code": "668611367",
            "country_code": "US",
            "telephone_number": "620-344-0472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "MICHELE",
        "middle_name": "TAMSEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-6303T",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5030",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.