Provider Demographics
NPI:1336643519
Name:MCGRIFF, SINA BERGLIND
Entity Type:Individual
Prefix:
First Name:SINA
Middle Name:BERGLIND
Last Name:MCGRIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-3925
Mailing Address - Country:US
Mailing Address - Phone:949-702-3240
Mailing Address - Fax:
Practice Address - Street 1:3939 ATLANTIC AVE STE 103
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807
Practice Address - Country:US
Practice Address - Phone:562-264-6001
Practice Address - Fax:562-264-6006
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW81560104100000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker