Provider Demographics
NPI:1528530128
Name:CHRISTINE MARK-GRIFFIN, LCSW PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:CHRISTINE MARK-GRIFFIN, LCSW PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NHI CHRISTINE
Authorized Official - Middle Name:THUC
Authorized Official - Last Name:MARK-GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:415-966-0599
Mailing Address - Street 1:2443 FILLMORE ST # 380-8241
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1814
Mailing Address - Country:US
Mailing Address - Phone:415-966-0599
Mailing Address - Fax:831-508-1162
Practice Address - Street 1:3195 CALIFORNIA ST STE B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2412
Practice Address - Country:US
Practice Address - Phone:415-966-0599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty