Provider Demographics
NPI:1598955353
Name:GRIFFITHS, ANGELA MERICI (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MERICI
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 ARCH ST 5
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1300
Mailing Address - Country:US
Mailing Address - Phone:267-256-2115
Mailing Address - Fax:
Practice Address - Street 1:7607 OLD YORK RD
Practice Address - Street 2:JFCS, LOWER LEVEL
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-3010
Practice Address - Country:US
Practice Address - Phone:267-256-2034
Practice Address - Fax:267-256-2703
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0159451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000008810009Medicaid
PA1000008810025OtherWELFARE
PA1000008810025OtherWELFARE