Model of Resilience Psychotherapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MODEL OF RESILIENCE PSYCHOTHERAPY LCSW PLLC

Practice address

2024 W Henrietta Rd Ste 2a
Rochester, NY 14623-1357

Phone

(585) 734-9381

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Miss Ebonesha Graham, LCSWNPI 1003166778

Title

Owner

Phone

(585) 794-0641

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebonesha M Graham, LMSW

  • School Social Worker
  • Rochester, NY
  • NPI 1003166778
  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1073374781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FALLESON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146125751",
            "telephone_number": "585-794-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD STE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231357",
            "telephone_number": "585-734-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEL OF RESILIENCE PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "EBONESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-794-0641",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayah Mobied
• Erika Simone Mobley-Dixon, L.P.N.
• Nikki Vanilla Mobley
• Lorraine Ann Mocniak, COTA
• Model of Resilience Psychotherapy
• Modern Periodontics, PC
• Persephone Yolanda Modeste, LMHC
• James George Modico
• Colette Johanna Modrak, AGPCNP
• Geneva Modrak, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.