Caroline Graham, MSW, LCSW, LPHA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2020012397 Issued in MO

Practice address

1205 Mackay PL
Saint Louis, MO 63104-2407

Phone

(573) 353-6291

NPI assigned

Feb 27, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1235630880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430001",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631430101",
            "telephone_number": "573-353-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MACKAY PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042407",
            "telephone_number": "573-353-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAROLINE",
        "credential": "MSW, LCSW, LPHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021922",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020012397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Graflage, MA, LPC
• Michelle Elizabeth Gragg
• Bridget Ann Graham-Royer, PSY,D,
• Alexandra Elizabeth Graham, PA
• Carl T Graham Sr., RPH
• Christiana Nastasia Graham, PHARMD
• Clarence Dante Graham
• Donna M Graham, RN, MSN, C-AP/MHCNS
• Erica Nicole Graham
• Irene L Graham, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.