Individual provider Active NPI

Timothy Wayne Griffith, LCSW

  • Clinical Social Worker
  • Pasadena, MD
National Provider Identifier
1992185250
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01682 Issued in MD
Practice address
8028 Ritchie Hwy
Suite 308
Pasadena, MD 21122-1075
Phone
(410) 761-0725
Fax
(410) 761-2412
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 01682 MD Primary

Addresses

Primary practice location

8028 Ritchie Hwy
Suite 308
Pasadena, MD 21122-1075

Mailing address

8028 Ritchie Hwy
Suite 308
Pasadena, MD 21122-1075
Phone (410) 761-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160503000668 MD Practitioner - Clinical Social Worker 3375842917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 202
Arnold, MD 21012-2410
Phone (410) 757-2077

1662 Village GRN
Crofton, MD 21114-2014
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Oct 2, 2020 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients
Associated Psychotherapists Past Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

1662 Village Grn
Crofton, MD 21114
Phone 4107572077 ext. 8137

1662 Village Grn
Ste 100
Crofton, MD 21114

Organizations & group practices 3

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1992185250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 308",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-761-0725",
            "fax_number": "410-761-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 308",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-761-0725",
            "fax_number": "410-761-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "01682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.