Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lydia Ruth Griffin, LCSW-A

Individual provider Clinical Social Worker · NPI 1093449068

Lydia Ruth Griffin, LCSW-A is a Clinical Social Worker in Jacksonville, North Carolina. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

200 Tarpon Trl
Jacksonville, NC 28546-5287
Phone: (910) 938-1114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1093449068
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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