Provider Demographics
NPI:1437528270
Name:GRIFFIN, ALLISON M (MSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:SLOOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 571097
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1097
Mailing Address - Country:US
Mailing Address - Phone:336-713-9727
Mailing Address - Fax:336-713-9619
Practice Address - Street 1:1200 N MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3006
Practice Address - Country:US
Practice Address - Phone:336-713-9727
Practice Address - Fax:336-713-9619
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0097981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical