Sara Robertson Graham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004075 Issued in NC

Practice address

15444 US Highway 17 N
Hampstead, NC 28443-3548

Phone

(910) 470-1559

NPI assigned

May 17, 2006

Last updated

Dec 29, 2009By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1023060704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430907",
            "telephone_number": "910-470-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15444 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433548",
            "telephone_number": "910-470-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SARA",
        "middle_name": "ROBERTSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Michelle Claus Getz, PHD, LCMHC
• Mary McLain Godin, MA, LPA, LPC
• Goshen Medical Center Incorporated (Goshen Medical Center - Hampstead)
• GPN Express Enterprise LLC (Village Pharmacy)
• Rachel Leigh Graham
• Whitney Graves
• Lora Dawn Greene, R N
• Growing Pains, P.a.
• Ryan Alexander Guy, DPT
• Conner Haberl

• Clinical Social Worker in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.