Active NPI
Ian Lamar Griffin, LCSW-R
- Clinical Social Worker
- Wappingers Falls, NY
National Provider Identifier
1871792143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R075942-1
- Practice address
- 131 Maloney Rd
Wappingers Falls, NY 12590-6249 - Phone
- (347) 401-4193
- Fax
- (845) 473-0623
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R075942-1 | NY | Primary |
Addresses
Primary practice location
131 Maloney Rd
Wappingers Falls, NY 12590-6249
Mailing address
131 Maloney Rd
Wappingers Falls, NY 12590-6249
Phone (347) 401-4193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R075942-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Organizations & group practices 1
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": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1871792143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MALONEY RD",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125906249",
"telephone_number": "347-401-4193",
"fax_number": "845-473-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MALONEY RD",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125906249",
"telephone_number": "347-401-4193",
"fax_number": "845-473-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "IAN",
"middle_name": "LAMAR",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R075942-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.