Provider Demographics
NPI:1356148829
Name:PIERRE GRIFFIN, AZALEIA SIMONE (MSW)
Entity type:Individual
Prefix:
First Name:AZALEIA
Middle Name:SIMONE
Last Name:PIERRE GRIFFIN
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:AZALEIA
Other - Middle Name:
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9422 210TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1525
Mailing Address - Country:US
Mailing Address - Phone:917-283-7536
Mailing Address - Fax:
Practice Address - Street 1:9422 210TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1525
Practice Address - Country:US
Practice Address - Phone:917-283-7536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker