Individual provider Active NPI

Colleen Maria Griffin, LCSW

  • Clinical Social Worker
  • Clarks Summit, PA
National Provider Identifier
1932644770
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019055 Issued in PA
Practice address
320 S State St Ste 3
Clarks Summit, PA 18411-1590
Phone
(570) 290-8603
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 CW019055 PA Primary

Addresses

Primary practice location

320 S State St Ste 3
Clarks Summit, PA 18411-1590

Mailing address

209 Carpenter Rd
Factoryville, PA 18419-7929
Phone (570) 290-8603

Other practice location 1

209 Carpenter Road
Factoryville, PA 18419-7929
Phone (702) 908-6035

Other practice location 2

110 Hemlock Farms Rd Ste 8
Lords Valley, PA 18428-6133
Phone (570) 290-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240530001275 PA Practitioner - Clinical Social Worker 2163864596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Polaris Counseling and Wellness, LLCGroup PAC ID 4082152749, 4 clinicians

Practice addresses (Care Compare)

320 S State St
Suite 3
Clarks Summit, PA 18411-1590
Phone (570) 290-8603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Counseling and Wellness LLC Clinical CurrentSince Jul 15, 2024 Accepting new patients

Locations

320 S State St
Ste 3
Clarks Summit, PA 18411
Phone (570) 290-8603

110 Hemlock Farms Rd
Ste 8
Lords Valley, PA 18428
Phone (570) 290-8603

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1932644770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CARPENTER RD",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184197929",
            "telephone_number": "570-290-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S STATE ST STE 3",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111590",
            "telephone_number": "570-290-8603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Carpenter Road",
            "address_purpose": "LOCATION",
            "city": "Factoryville",
            "state": "PA",
            "postal_code": "184197929",
            "country_code": "US",
            "telephone_number": "702-908-6035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Hemlock Farms Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Lords Valley",
            "state": "PA",
            "postal_code": "184286133",
            "country_code": "US",
            "telephone_number": "570-290-8603",
            "fax_number": "888-649-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "COLLEEN",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.