Haley Graham, LICSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200002138 Issued in DC

Practice address

219 50TH St SE
Washington, DC 20019-7607

Phone

(412) 498-1360

NPI assigned

Jan 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1134834104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 50TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200197607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 50TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200197607",
            "telephone_number": "412-498-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HALEY",
        "credential": "LICSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002138",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.littleislandremedy.com/sign-in",
            "affiliation": "N",
            "address_1": "939 5th St NE Apt B",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200023511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Davette F Graham
• David H Graham, PH.D
• Debora A Graham
• Elizabeth Malcolm Graham, MS, CNS, LDN
• Ellen Rosemary Graham, NP
• Jeremy Graham
• Karis Graham
• Kayla Ebony Graham
• Kofi Graham
• Lakeisha M Graham

• All providers in Washington, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.