Individual
MS. BERNADETTE HAYES GRIFFIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 E CENTRAL AVE, PEARL RIVER, NY 10965-2537
(845) 735-3881
Mailing address
180 E CENTRAL AVE, PEARL RIVER, NY 10965-2537
(845) 735-3881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11434CASAC
NY
1041C0700X
Clinical Social Worker
445C01290300
NJ
1041C0700X
Clinical Social Worker
Primary
PR0153391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5878209
AETNA
NJ
01
—
5878209
AETNA
NY
01
—
N41191
BCBS
—
01
—
P1313765
OXFORD
NJ
01
—
P1313765
OXFORD
NY
Enumeration date
11/14/2005
Last updated
07/08/2007
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