Provider Demographics
NPI:1730324773
Name:GRIFFIN, CHRISTY MAURINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:MAURINE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:MAURINE
Other - Last Name:FOUNTAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11378 EATON STREET
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6869
Mailing Address - Country:US
Mailing Address - Phone:720-323-1536
Mailing Address - Fax:303-467-4097
Practice Address - Street 1:536 COLORADO BOULEVARD
Practice Address - Street 2:
Practice Address - City:DACONO
Practice Address - State:CO
Practice Address - Zip Code:80514
Practice Address - Country:US
Practice Address - Phone:720-323-1536
Practice Address - Fax:303-467-4097
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical