Provider Demographics
NPI:1871651653
Name:GRIFFIN, MEREDITH LILLIAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:LILLIAN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13561 BRIARMOOR CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-8013
Mailing Address - Country:US
Mailing Address - Phone:407-851-0259
Mailing Address - Fax:407-854-1817
Practice Address - Street 1:13561 BRIARMOOR CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8013
Practice Address - Country:US
Practice Address - Phone:407-851-0259
Practice Address - Fax:407-854-1817
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 70221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical