Individual
MR. TREVOR GRIFFITHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC2
Contact information
Practice address
1444 SHAKESPEARE AVE APT 24, BRONX, NY 10452-1843
(347) 989-4919
Mailing address
95 RIVERVIEW CT, SECAUCUS, NJ 07094-4059
(347) 961-6124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30648
NY
1041C0700X
Clinical Social Worker
114451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114451
—
NY
Enumeration date
04/19/2017
Last updated
10/23/2021
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