Healthcare Provider Details

I. General information

NPI: 1518801430
Provider Name (Legal Business Name): MARGARET GRIVAS CLINICAL SOCIAL WORK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1957 HEADWATERS DR UNIT F
TRAVERSE CITY MI
49686-8060
US

IV. Provider business mailing address

2632 CROSSING CIR # 1081
TRAVERSE CITY MI
49684-7930
US

V. Phone/Fax

Practice location:
  • Phone: 231-392-6621
  • Fax:
Mailing address:
  • Phone: 231-392-6621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARGARET MARY GRIVAS
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW-CLINICAL
Phone: 231-392-6621