Provider Demographics
NPI:1801525860
Name:GRIFFITH, LAUREN NICOLE (LICSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:NICOLE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 HAZARD RD
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1970
Mailing Address - Country:US
Mailing Address - Phone:401-497-4321
Mailing Address - Fax:
Practice Address - Street 1:55 PROVIDENCE HWY
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-2647
Practice Address - Country:US
Practice Address - Phone:774-256-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW035731041C0700X
MA2241391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical