Healthcare Provider Details

I. General information

NPI: 1679269534
Provider Name (Legal Business Name): VERONICA YVONNE GRIFFIN LMSW, PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WESTWOOD OFFICE PARK
FREDERICKSBURG VA
22401-5111
US

IV. Provider business mailing address

501 WESTWOOD OFFICE PARK
FREDERICKSBURG VA
22401-5111
US

V. Phone/Fax

Practice location:
  • Phone: 540-736-7501
  • Fax:
Mailing address:
  • Phone: 757-560-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number09030003324
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4854G
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: