Provider Demographics
NPI:1376955765
Name:GRIFFIN, BARRON SHEREE (LCSW)
Entity type:Individual
Prefix:
First Name:BARRON
Middle Name:SHEREE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BARRON
Other - Middle Name:SHEREE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-2928
Mailing Address - Country:US
Mailing Address - Phone:870-305-1221
Mailing Address - Fax:870-364-9774
Practice Address - Street 1:302 MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-2928
Practice Address - Country:US
Practice Address - Phone:870-305-1221
Practice Address - Fax:870-364-9774
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR10208-C1041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator