Provider Demographics
NPI:1932931888
Name:GRIFFEN, JAMIE BRENNER (LMSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:BRENNER
Last Name:GRIFFEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:BRENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:201 E 87TH ST APT 16F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3215
Mailing Address - Country:US
Mailing Address - Phone:917-612-9875
Mailing Address - Fax:
Practice Address - Street 1:201 E 87TH ST APT 16F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3215
Practice Address - Country:US
Practice Address - Phone:917-612-9875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1205601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical