Healthcare Provider Details

I. General information

NPI: 1376955765
Provider Name (Legal Business Name): BARRON SHEREE GRIFFIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARRON SHEREE BROWN

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 MAIN ST
CROSSETT AR
71635-2928
US

IV. Provider business mailing address

302 MAIN ST
CROSSETT AR
71635-2928
US

V. Phone/Fax

Practice location:
  • Phone: 870-305-1221
  • Fax: 870-364-9774
Mailing address:
  • Phone: 870-305-1221
  • Fax: 870-364-9774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10208-C
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: