Individual provider Active NPI

Tara Marie Griffith, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1922713627
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18885 Issued in FL
Practice address
3840-1 Williamsburg Park Blvd
Jacksonville, FL 32257-9245
Phone
(850) 590-7098
Fax
(904) 299-9985
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 SW18885 FL Primary

Addresses

Primary practice location

3840-1 Williamsburg Park Blvd
Jacksonville, FL 32257-9245

Mailing address

3832-10 Baymeadows Rd # 134
Jacksonville, FL 32217-5606
Phone (850) 590-7098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127002148 FL Practitioner - Clinical Social Worker 7719358894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3840 -1 Williamsburg Park Blvd
Jacksonville, FL 32257-9245
Phone (904) 299-9589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18885FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 26, 2024 Accepting new patients
Grit and Grace Counseling Services, LLC Clinical CurrentSince Jun 1, 2025 Accepting new patients

Locations

10163 Fortune Pkwy
Jacksonville, FL 32256
Phone (904) 479-6050

3840-1 Williamsburg Park Blvd
Jacksonville, FL 32257
Phone (850) 590-7098

3840-1 Williamsburg Park Blvd
#B
Jacksonville, FL 32257
Phone (904) 299-9589

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1922713627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832-10 BAYMEADOWS RD # 134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322175606",
            "telephone_number": "850-590-7098",
            "fax_number": "904-299-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840-1 WILLIAMSBURG PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579245",
            "telephone_number": "850-590-7098",
            "fax_number": "904-299-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.