Provider Demographics
NPI:1518797760
Name:GRIFFIS, DARIA LENORIA ROBINSON (LCSW-A, ASW)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:LENORIA ROBINSON
Last Name:GRIFFIS
Suffix:
Gender:F
Credentials:LCSW-A, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 RYKER RD E
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-7019
Mailing Address - Country:US
Mailing Address - Phone:919-943-0024
Mailing Address - Fax:
Practice Address - Street 1:1313 N ROAD ST STE 23
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3483
Practice Address - Country:US
Practice Address - Phone:252-516-4126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1235091041C0700X
NCP0207041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical