Individual provider Active NPI

Debra G Griffith Fujinami

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1720208507
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2006023806 Issued in MO
Practice address
510 Francis St
Suite 200
Saint Joseph, MO 64501-1769
Phone
(816) 236-2398
Fax
(816) 236-2464
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2006023806 MO Primary

Addresses

Primary practice location

510 Francis St
Suite 200
Saint Joseph, MO 64501-1769

Mailing address

7180 SE 75TH Rd
Saint Joseph, MO 64507-8071
Phone (816) 364-1501

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006023806MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720208507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 SE 75TH RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645078071",
            "telephone_number": "816-364-1501",
            "fax_number": "816-236-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 FRANCIS ST",
            "address_2": "SUITE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645011769",
            "telephone_number": "816-236-2398",
            "fax_number": "816-236-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH FUJINAMI",
        "first_name": "DEBRA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006023806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.