Provider Demographics
NPI:1720342314
Name:GRIFFIN, JAN L (MSW, P-LCSW)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:L
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:L
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:84 W WALNUT ST
Mailing Address - Street 2:APT #305
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2372
Mailing Address - Country:US
Mailing Address - Phone:828-775-5229
Mailing Address - Fax:
Practice Address - Street 1:50 REDDICK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2717
Practice Address - Country:US
Practice Address - Phone:828-298-0186
Practice Address - Fax:828-298-4870
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0089941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical