Colin Graham, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.031683 Issued in IL

Practice address

500 Capitol Mall Ste 2350
Sacramento, CA 95814-4760

Phone

(312) 775-2045

NPI assigned

Jan 20, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1114739968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W LELAND AVE APT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406611",
            "telephone_number": "517-214-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAPITOL MALL STE 2350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144760",
            "telephone_number": "312-775-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Davis St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013608",
            "country_code": "US",
            "telephone_number": "847-492-1778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "COLIN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.031683",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "39210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Antoinette Graham-Smith
• Arieal Chanelle Graham
• Audrey Elizabeth Graham
• Brittany Graham
• Casey Rae Graham
• Connor Ashton Graham
• Daneisha Graham
• Gina Graham
• Jacob Graham
• Jeffrey A Graham, MD

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.