Provider Demographics
NPI:1356166029
Name:GRIFFIN, BRITTANY LEE (LSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 SICOMAC RD STE 305
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2954
Mailing Address - Country:US
Mailing Address - Phone:973-348-6004
Mailing Address - Fax:
Practice Address - Street 1:33 SICOMAC RD STE 305
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2954
Practice Address - Country:US
Practice Address - Phone:973-348-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06809300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker