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NPI Code Detail

MEDICARE: JESSICA GRIFFITH LCSW, CPRP

MEDICARE: JESSICA GRIFFITH LCSW, CPRP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW020913PA

General Provider Information

NPI Number : 1558213843
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA GRIFFITH LCSW, CPRP
Provider Business Mailing Address
First Line : 6711 OLD YORK RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6711 OLD YORK RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2841
Country : US
Telephone Number : 215-704-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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