Individual provider Active NPI

Sheila Graves, LICSW-C

  • Clinical Social Worker
  • Capitol Heights, MD
National Provider Identifier
1245400464
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13385 Issued in MD
Practice address
5354 Sheriff Rd
Capitol Heights, MD 20743-1308
Phone
(301) 773-8201
Fax
(301) 773-8203
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13385 MD Primary
Clinical Social Worker 1041C0700X LC303532 DC

Addresses

Primary practice location

5354 Sheriff Rd
Capitol Heights, MD 20743-1308

Mailing address

5354 Sheriff Rd
Capitol Heights, MD 20743-1308
Phone (301) 773-8201

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

LicenseStateTypeSpecialty
LC303532DCMDClinical Social Worker
13385MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1245400464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 SHERIFF RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431308",
            "telephone_number": "301-773-8201",
            "fax_number": "301-773-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 SHERIFF RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431308",
            "telephone_number": "301-773-8201",
            "fax_number": "301-773-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "SHEILA",
        "name_prefix": "Ms.",
        "credential": "LICSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13385",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.