Provider Demographics
NPI:1962573832
Name:GRIFFIN, ROSALIND ELEANOR (DSW, LCSW-C)
Entity type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:ELEANOR
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:DSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 YORK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3041
Mailing Address - Country:US
Mailing Address - Phone:410-433-7123
Mailing Address - Fax:410-433-7126
Practice Address - Street 1:5900 YORK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3041
Practice Address - Country:US
Practice Address - Phone:410-433-7123
Practice Address - Fax:410-433-7126
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD002021041C0700X
DCLC3004001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
631RMedicare ID - Type Unspecified