| Kathryn A Griffiths Msw,lcsw,bcd | |
|
550 W Main St Boonton NJ 07005-1168 | |
| (973) 257-5666 | |
| Not Available |
| Full Name | Kathryn A Griffiths Msw,lcsw,bcd |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 W Main St, Boonton, New Jersey |
| Authorized Official Name and Position | Kathryn A Griffiths (OWNER/MANAGER) |
| Authorized Official Contact | 9732575666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn A Griffiths Msw,lcsw,bcd 550 W Main St Boonton NJ 07005-1168 Ph: (973) 257-5666 | Kathryn A Griffiths Msw,lcsw,bcd 550 W Main St Boonton NJ 07005-1168 Ph: (973) 257-5666 |
| NPI Number | 1083891139 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 2466502406 |
|---|---|
| Medicare Enrollment ID | O20090612000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083891139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44SC04309700 (New Jersey) | Primary |
| Provider Name | Kathryn A Griffiths |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558338046 PECOS PAC ID: 4587601398 Enrollment ID: I20050413000703 |
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