Organization Active NPI

Mildred Arnold-Graham

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1205202710
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PSW962 Issued in FL
Legal business name
MILDRED ARNOLD-GRAHAM
Practice address
1034 W 13TH St
Lakeland, FL 33805-2606
Phone
(937) 371-6603
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mrs. Mildred Elaine Arnold Graham, PSW962NPI 1861715724
Title
Provisional LCSW
Phone
(937) 371-6603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PSW962 FL Primary

Addresses

Primary practice location

1034 W 13TH St
Lakeland, FL 33805-2606

Mailing address

1034 W 13TH St
Lakeland, FL 33805-2606
Phone (937) 371-6603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1205202710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 W 13TH ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052606",
            "telephone_number": "937-371-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W 13TH ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052606",
            "telephone_number": "937-371-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED ARNOLD-GRAHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "ARNOLD GRAHAM",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PROVISIONAL LCSW",
        "authorized_official_telephone_number": "937-371-6603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSW962"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "PSW962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.