Provider Demographics
NPI:1922404714
Name:GRIFFEN, DARNELL EUGENE (LICSW)
Entity Type:Individual
Prefix:
First Name:DARNELL
Middle Name:EUGENE
Last Name:GRIFFEN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26005 156TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-4203
Mailing Address - Country:US
Mailing Address - Phone:509-579-3895
Mailing Address - Fax:
Practice Address - Street 1:25843 129TH PL SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7929
Practice Address - Country:US
Practice Address - Phone:509-570-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW60496754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health