Individual provider Active NPI

Michael Thomas Griffin, MSW LCSW

  • Clinical Social Worker
  • Laguna Niguel, CA
National Provider Identifier
1942764790
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS9776 Issued in CA
Practice address
30101 Town Center Dr Ste 104
Laguna Niguel, CA 92677-2035
Phone
(949) 495-5922
NPI assigned
Jan 25, 2019
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 LCS9776 CA Primary

Addresses

Primary practice location

30101 Town Center Dr Ste 104
Laguna Niguel, CA 92677-2035

Mailing address

30101 Town Center Dr Ste 104
Laguna Niguel, CA 92677-2035
Phone (949) 495-5922

Other identifiers 1

IdentifierTypeStateIssuer
1780758136OtherNPI FOR CHIAFERI-GRIFFIN, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS9776CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1942764790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR STE 104",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772035",
            "telephone_number": "949-495-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR STE 104",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772035",
            "telephone_number": "949-495-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CHIAFERI-GRIFFIN, INC",
            "identifier": "1780758136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.