Geoffrey Cooper Graham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016205 Issued in NC

Practice address

848 Marcheta St
Altadena, CA 91001-2580

Phone

(443) 690-5329

Fax

(866) 488-8170

NPI assigned

Nov 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

University of Maryland School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Peace, PLLCGroup PAC ID 0143610261, 3 clinicians

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.

• Complete Peace, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hendersonville, NC
  • NPI 1578235156
  Medicare reassignment Care Compare group NPD
• Wise Intent Therapy, PLLC

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1831902238
  NPD Authorized official
• Pathways to Peace, PLLC

  • Clinical Social Worker
  • Hendersonville, NC
  • NPI 1356171847
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1386289361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BEVERLY AVE",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925403",
            "telephone_number": "443-690-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 MARCHETA ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012580",
            "telephone_number": "443-690-5329",
            "fax_number": "866-488-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 S Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Flat Rock",
            "state": "NC",
            "postal_code": "287319447",
            "country_code": "US",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GEOFFREY",
        "middle_name": "COOPER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-03-04",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86069",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggraham@fourseasonscflf.org",
            "affiliation": "N",
            "address_1": "571 S Allen Rd",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287319447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elizabeth H. Gonzalez, LMFT
• Martha Gonzalez
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• Denise Anne Granai
• Vickie Sue Greenberg, D.D.S., M.S.D.
• Candice S Grey
• Ariel Ann Griffith, OTR
• Growing Pains Individual, Family, and Couples Theraputic Services

• Clinical Social Worker in Altadena, CA
• Providers in Altadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.