Susan W Graefe, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00128 Issued in RI

Practice address

390 Toll Gate Rd Suite 206
Warwick, RI 02886

Phone

(401) 732-6369

Fax

(401) 732-6369

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1386794345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD SUITE 206",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-732-6369",
            "fax_number": "401-732-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD SUITE 206",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-732-6369",
            "fax_number": "401-732-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEFE",
        "first_name": "SUSAN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW00128",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS BLUE SHIELD",
            "identifier": "7385",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Gorman, DPT
• Tanya Teresa Gorriaran-Goodwin, MSPT
• Brett B Gould
• Meghan Christine Gould
• Amy Jeanne Goyette, RN
• Graham J. Newstead M.D., Inc.
• Tiffany Nicole Graham, O.D.
• Nermin Graise, M.D.
• David J Grams, DPT
• Amanda Grandchamp, LMHC

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.