Heather Brook Graham

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

50 Gene Cash Rd
Campbellsville, KY 42718

Phone

(270) 465-7768

NPI assigned

Aug 23, 2018

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• The Kid Spot Center

  • Speech-Language Pathologist
  • Campbellsville, KY
  • NPI 1104146109
  NPD (past)
• The Kid Spot Center

  • Speech-Language Pathologist
  • Elizabethtown, KY
  • NPI 1710307152
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1013498559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GENE CASH RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GENE CASH RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-465-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427181549",
            "country_code": "US",
            "telephone_number": "270-465-5691 x41660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HEATHER",
        "middle_name": "BROOK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Goldsmith, PHARMD
• Nestor Ruben Gonzalez, MD
• Jacklyn Marie Goodson
• Kimberly A. Gowin, APRN
• Grace and Wellness Behavioral Health Group, LLC
• Sandra Kaye Grant
• Haylee Graves
• Lindsay Graves, MS, CCC-SLP
• Green River Horizons
• Green River Medical Equipment Inc.

• Clinical Social Worker in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.