Provider Demographics
NPI:1386808517
Name:GRIFFIN, CARON GIVHAN (MSW)
Entity type:Individual
Prefix:MRS
First Name:CARON
Middle Name:GIVHAN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:CARON
Other - Middle Name:GIVHAN
Other - Last Name:PETTAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:975 9TH AVE SW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7837
Mailing Address - Country:US
Mailing Address - Phone:205-428-3495
Mailing Address - Fax:205-428-9240
Practice Address - Street 1:975 9TH AVE. S.W.
Practice Address - Street 2:SUITE 400
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022
Practice Address - Country:US
Practice Address - Phone:205-428-3495
Practice Address - Fax:205-428-9240
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker