Provider Demographics
NPI:1679453617
Name:GRIFFIS, MADISON K (MSW, LSWAIC)
Entity type:Individual
Prefix:MR
First Name:MADISON
Middle Name:K
Last Name:GRIFFIS
Suffix:
Gender:M
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 SUMMIT AVE E APT 504
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5297
Mailing Address - Country:US
Mailing Address - Phone:214-803-5183
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 611
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1761
Practice Address - Country:US
Practice Address - Phone:214-803-5183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC700063851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical