Provider Demographics
NPI:1063743011
Name:GRIFFIN, CAROL LYNNE (MSW)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LYNNE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 ROLLING OAK DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-2382
Mailing Address - Country:US
Mailing Address - Phone:317-244-3048
Mailing Address - Fax:
Practice Address - Street 1:2222 ROLLING OAK DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-2382
Practice Address - Country:US
Practice Address - Phone:317-244-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor