Individual provider Active NPI

Tracy Harmon Griffith, DSW LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1841707544
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015114 Issued in PA
Practice address
1120 Cantrell St
Philadelphia, PA 19148-3027
Phone
(215) 356-2531
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7393-C AR
Clinical Social Worker 1041C0700X CW015114 PA Primary

Addresses

Primary practice location

1120 Cantrell St
Philadelphia, PA 19148-3027

Mailing address

1120 Cantrell St
Philadelphia, PA 19148-3027
Phone (215) 356-2531

Other names 1

  • Mr. Tracy Harmon Griffith Professional name

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

LicenseStateTypeSpecialty
7393-CARMDClinical Social Worker
CW015114PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1841707544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CANTRELL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483027",
            "telephone_number": "215-356-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CANTRELL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483027",
            "telephone_number": "215-356-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "TRACY",
        "middle_name": "HARMON",
        "credential": "DSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7393-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "GRIFFITH",
            "middle_name": "HARMON",
            "prefix": "MR.",
            "credential": "DSW LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.