Provider Demographics
NPI:1790802338
Name:ADSIT-MCGRIFF, SUSAN MARIAH (MSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MARIAH
Last Name:ADSIT-MCGRIFF
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:MARIAH
Other - Last Name:ADSIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:505 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64124-1513
Mailing Address - Country:US
Mailing Address - Phone:816-421-2428
Mailing Address - Fax:
Practice Address - Street 1:400 E 6TH ST
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3703
Practice Address - Country:US
Practice Address - Phone:816-587-4100
Practice Address - Fax:816-587-6691
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical