Provider Demographics
NPI:1184935108
Name:GRIFFITH, DONIELLE S (LMSW)
Entity type:Individual
Prefix:
First Name:DONIELLE
Middle Name:S
Last Name:GRIFFITH
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 1:280 TINKHAM RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1935
Mailing Address - Country:US
Mailing Address - Phone:413-731-4957
Mailing Address - Fax:
Practice Address - Street 1:280 TINKHAM RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01129-1935
Practice Address - Country:US
Practice Address - Phone:413-731-4957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker