Active NPI
Alexandra D Griffin, LSW
- Social Worker
- Athens, OH
National Provider Identifier
1740800895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005304
- Practice address
- 306 W Union St
Athens, OH 45701-2312 - Phone
- (740) 357-8615
- NPI assigned
- Apr 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | S.2005304 | OH | Primary |
Addresses
Primary practice location
306 W Union St
Athens, OH 45701-2312
Mailing address
PO Box 396
Springboro, OH 45066-0396
Phone (740) 357-8615
Other practice location 1
90 Hospital Dr
Athens, OH 45701-2301
Phone (740) 592-3091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0416367 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2005304 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1740800895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450660396",
"telephone_number": "740-357-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012312",
"telephone_number": "740-357-8615"
}
],
"practiceLocations": [
{
"address_1": "90 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012301",
"country_code": "US",
"telephone_number": "740-592-3091",
"fax_number": "740-773-3985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "ALEXANDRA",
"middle_name": "D",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-19",
"last_updated": "2022-06-30",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0416367",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.