Provider Demographics
NPI:1144270521
Name:GRIFFIN, KAREN ROGERS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ROGERS
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:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-0163
Mailing Address - Country:US
Mailing Address - Phone:860-670-3088
Mailing Address - Fax:845-230-6226
Practice Address - Street 1:945 HOPMEADOW ST
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070
Practice Address - Country:US
Practice Address - Phone:860-670-3088
Practice Address - Fax:845-230-6226
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0046501041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker