Provider Demographics
NPI:1871909994
Name:GRIFFO, TRICIA (LCSW)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:GRIFFO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7863 BROADWAY STE 220
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5547
Mailing Address - Country:US
Mailing Address - Phone:219-765-1275
Mailing Address - Fax:219-795-1277
Practice Address - Street 1:7863 BROADWAY STE 220
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5547
Practice Address - Country:US
Practice Address - Phone:219-795-1275
Practice Address - Fax:219-795-1277
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008132A101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health