Ebonesha M Graham, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

083851-1 Issued in NY

Practice address

180 Ridgeway Ave
Rochester, NY 14615-3636

Phone

(585) 794-0641

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anthony L. Jordan Health CorporationGroup PAC ID 8729079785, shared by 7 NPIs, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHJFAA/Endpoint/GHJFAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Model of Resilience Psychotherapy

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1659941680
  NPD Authorized official
• Model of Resilience Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1073374781
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1003166778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EAGLE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082230",
            "telephone_number": "585-794-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146153636",
            "telephone_number": "585-794-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "EBONESHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "083851-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "083851-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia R Graff
• Anne B Graham, MS ED, LMHC, NCC
• Bryanna Graham, LMSW
• Carol Graham
• Courtney Graham
• Eileen Graham
• Emily Katherine Graham, PA-C
• Jordana Graham, LMSW
• Laquanda Graham
• Maureen Graham

• School Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.