Provider Demographics
NPI:1942185400
Name:GRIFFIN, MEGAN (CHW, LBSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CHW, LBSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:GRIFFIN-POTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:601 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:EAST JORDAN
Mailing Address - State:MI
Mailing Address - Zip Code:49727-9421
Mailing Address - Country:US
Mailing Address - Phone:231-536-2206
Mailing Address - Fax:231-536-9864
Practice Address - Street 1:601 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:EAST JORDAN
Practice Address - State:MI
Practice Address - Zip Code:49727-9421
Practice Address - Country:US
Practice Address - Phone:231-536-2206
Practice Address - Fax:231-536-9864
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI156042682172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker