MEDICARE: MR. MADISON K GRIFFIS MSW, LSWAIC

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
1	1041C0700X	Clinical Social Worker	SC70006385	WA

General Provider Information

NPI Number	:	1679453617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MADISON K GRIFFIS MSW, LSWAIC

Provider Business Mailing Address
First Line	:	301 SUMMIT AVE E APT 504
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-5297
Country	:	US
Telephone Number	:	214-803-5183
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 OLIVE WAY STE 611
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1761
Country	:	US
Telephone Number	:	214-803-5183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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