Raymond B Graham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005952A Issued in IN

Practice address

121 Buntin St
Vincennes, IN 47591-1320

Phone

(812) 885-2700

Fax

(812) 885-2716

NPI assigned

Dec 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1295039774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911034",
            "telephone_number": "812-886-6800",
            "fax_number": "812-886-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BUNTIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911320",
            "telephone_number": "812-885-2700",
            "fax_number": "812-885-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "RAYMOND",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-27",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005952A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270140",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PENDING",
            "identifier": "444530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Hospital Physicians Services Inc
• Mark F Goodrich, PT, ATC
• Mattye Goodrich, RBT
• Linda Goodwin, LCSW
• Debbie Grabowski, M.S.,CCC-SLP
• Grandview Care, Inc.
• Johnathan R Grant, DO
• Lora K Gray, LCSW
• Jan H Green, MS, OTR
• Alisha A Greentree, RN

• Clinical Social Worker in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.