Jordan Skye Graham

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017849 Issued in NC

Practice address

7489 Rockfish Rd
Raeford, NC 28376-6131

Phone

(910) 584-6739

Fax

(833) 260-0543

NPI assigned

Jun 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meaningful Minds Counseling, PLLC

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1013516251
  Medicare reassignment NPD
• Healing Hearts Therapeutic Services, PLLC

  • Community/Behavioral Health Agency
  • Raeford, NC
  • NPI 1801381330

  Clinical

  NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1376275099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739",
            "fax_number": "833-260-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739",
            "fax_number": "833-260-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JORDAN",
        "middle_name": "SKYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Deeds
• Teraefean Goodwin
• Goshen Medical Center Incorporated
• Grace Health Care Center PLLC
• Charlescie Graham, LCSW, LCAS
• Grandma Lucy'S Home Care, LLC
• Caitlin J Grant
• Adam Lee Gray-Heim, MSW, LCSW
• Alfred Gray Sr., M.A.,LPC
• Great Expectations Mental Health Services, Inc.

• Clinical Social Worker in Raeford, NC
• Providers in Raeford, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.