Active NPI
Jarvis Graham
- Social Worker
- Cincinnati, OH
National Provider Identifier
1215424841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1610400-TRNE
- Practice address
- 415 Glensprings Dr Ste 201
Cincinnati, OH 45246 - Phone
- (513) 771-9600
- Fax
- (513) 771-2546
- NPI assigned
- Apr 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.1610400-TRNE | OH | Primary |
Addresses
Primary practice location
415 Glensprings Dr Ste 201
Cincinnati, OH 45246
Mailing address
415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353
Phone (513) 771-9600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1610400-TRNE | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1215424841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 GLENSPRINGS DR STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452462353",
"telephone_number": "513-771-9600",
"fax_number": "513-771-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 GLENSPRINGS DR STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45246",
"telephone_number": "513-771-9600",
"fax_number": "513-771-2546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JARVIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1610400-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.