Douglas Mitchell Graiver, LCSW, CCS
Individual provider Active NPI Clinical Social Worker · Stockton, NJ
NPI 1245423391 · NPPES record last updated Aug 22, 2007
Key facts
- NPI
- 1245423391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00595900 (NJ)
- Practice address
- 56 S Main St
Stockton, NJ 08559-2153 - Phone
- (609) 397-5971
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00595900 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00595900 | NJ | Yes |
Addresses
Primary practice location
56 S Main St
Stockton, NJ 08559-2153
Mailing address
56 S Main St
Stockton, NJ 08559-2153
Phone (609) 397-5971
Other providers in Stockton, NJ
- Circles of Communication LLC
- Peter Alan Crist
- Paige H Digiambattista
- Gary Alan Falcetano
- Stuart H Freedenfeld
- Andrea Gurba
- Arden Hawes
- David Herbel
- Suzanne Elizabeth Hertz
- Daniela Hidalgo Flores
All providers in Stockton, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.