Sharon Elizabeth Blackburn-Griffin, MSSW, LCSW
Individual provider Active NPI Clinical Social Worker · Hot Springs Village, AR
NPI 1699162156 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1699162156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1257-C (AR)
- Practice address
- 6 Tiburon Way
Hot Springs Village, AR 71909-6630 - Phone
- (501) 276-3461
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257-C | AR | MD | Clinical Social Worker |
| 20358 (INACTIVE) | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1257-C | AR | Yes |
| Clinical Social Worker | 1041C0700X | 20358 (INACTIVE) | TX |
Addresses
Primary practice location
6 Tiburon Way
Hot Springs Village, AR 71909-6630
Mailing address
6 Tiburon Way
Hot Springs Village, AR 71909-6630
Phone (501) 276-3461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1257-C | Other | AR | STATE OF ARKANSAS SOCIAL WORK LICENSING BOARD |
| 20358 (INACTIVE) | Other | TX | TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS |
Other providers in Hot Springs Village, AR
- Alex Baldwin
- Laura Leigh Barkley
- Christian Nicole Bearden
- Neeraj Bharany
- Justin Bintliff
- Eric Borra
- Delaney Bowers
- Morgan Raeann Brian-York
- Jane Brown
- Michelle Brown
All providers in Hot Springs Village, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.