Provider Demographics
NPI:1487422002
Name:GRIFFITH, JENNIFER RENEE (MSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RENEE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 CALLE BIENVENIDO
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-2614
Mailing Address - Country:US
Mailing Address - Phone:949-235-5359
Mailing Address - Fax:
Practice Address - Street 1:27124 PASEO ESPADA STE 801
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-2741
Practice Address - Country:US
Practice Address - Phone:949-615-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical