Provider Demographics
NPI:1477641900
Name:GRIGGS, DENISE CECELIA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:CECELIA
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4175 3 MILE RD NW
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:MI
Mailing Address - Zip Code:49534-1133
Mailing Address - Country:US
Mailing Address - Phone:616-453-6100
Mailing Address - Fax:616-453-6157
Practice Address - Street 1:4175 3 MILE RD NW
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MI
Practice Address - Zip Code:49534-1133
Practice Address - Country:US
Practice Address - Phone:616-453-6100
Practice Address - Fax:616-453-6157
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010661571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008934860OtherBCBS PIN #
MI165107OtherVALUE OPTIONS
MIGRIGG-0001OtherCOMP CARE PROVIDER #
MI8008934860OtherBCBS PIN #