MEDICARE: MICHAEL SCOTT GRIERSON

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	SWIA.SC.61663907	WA

General Provider Information

NPI Number	:	1972462265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SCOTT GRIERSON

Provider Business Mailing Address
First Line	:	325 9TH AVE
Second Line	:	BOX 359797
City	:	SEATTLE
State	:	WA
Zip	:	98104-4299
Country	:	US
Telephone Number	:	206-744-9603
Fax Number	:	206-744-9914

Provider Business Practice Location Address
First Line	:	325 9TH AVE
Second Line	:	BOX 359797
City	:	SEATTLE
State	:	WA
Zip	:	98104-4299
Country	:	US
Telephone Number	:	206-744-9603
Fax Number	:	206-744-9914

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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