Provider Demographics
NPI:1003505736
Name:GRIFFIN, JAMIE W (SWC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:W
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3438 N SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4331
Mailing Address - Country:US
Mailing Address - Phone:310-804-7423
Mailing Address - Fax:
Practice Address - Street 1:7878 WADSWORTH BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2197
Practice Address - Country:US
Practice Address - Phone:720-580-0395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC.00000006891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical