Provider Demographics
NPI:1306078902
Name:GRIFFIN, MARIA G (LCSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:GRIFFIN
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 1:7717 LOUETTA RD UNIT 11511
Mailing Address - Street 2:
Mailing Address - City:KLEIN
Mailing Address - State:TX
Mailing Address - Zip Code:77391-4027
Mailing Address - Country:US
Mailing Address - Phone:903-243-9462
Mailing Address - Fax:
Practice Address - Street 1:7717 LOUETTA RD UNIT 11511
Practice Address - Street 2:
Practice Address - City:KLEIN
Practice Address - State:TX
Practice Address - Zip Code:77391-4027
Practice Address - Country:US
Practice Address - Phone:903-243-9462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX587261041C0700X
MSC64141041C0700X
MSM6414106H00000X
CA1100711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist