Active NPI
Lori Kristine Graham, LMSW
- Social Worker
- Little Rock, AR
National Provider Identifier
1053644146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2348M
- Practice address
- 2 Innwood Cir
Suite a
Little Rock, AR 72211-2447 - Phone
- (501) 954-7470
- Fax
- (501) 954-7420
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2348M | AR | Primary |
Addresses
Primary practice location
2 Innwood Cir
Suite a
Little Rock, AR 72211-2447
Mailing address
20400 Colonel Glenn Rd
Little Rock, AR 72210-5323
Phone (501) 821-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2348M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1053644146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20400 COLONEL GLENN RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722105323",
"telephone_number": "501-821-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INNWOOD CIR",
"address_2": "SUITE A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112447",
"telephone_number": "501-954-7470",
"fax_number": "501-954-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "LORI",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2348M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.