Healthcare Provider Details

I. General information

NPI: 1285805887
Provider Name (Legal Business Name): BARBARA GRIFFITH ERKE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BOBBIE GRIFFITH ERKE LCSW

II. Dates (important events)

Enumeration Date: 03/22/2008
Last Update Date: 07/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 S VAL VISTA DR
MESA AZ
85204-6401
US

IV. Provider business mailing address

1237 S VAL VISTA DR
MESA AZ
85204-6401
US

V. Phone/Fax

Practice location:
  • Phone: 480-209-5368
  • Fax:
Mailing address:
  • Phone: 480-209-5368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW12355
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: