Individual provider Active NPI

Lauren Aline Graham, LCSW

  • Clinical Social Worker
  • Powell, WY
National Provider Identifier
1396961835
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-838 Issued in WY
Practice address
152 N. Absaroka St. Suite C
Powell, WY 82435-2207
Phone
(307) 250-0645
Fax
(307) 247-7592
NPI assigned
Apr 17, 2007
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1015LCSW MT
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LCSW-838 WY Primary

Addresses

Primary practice location

152 N. Absaroka St. Suite C
Powell, WY 82435-2207

Mailing address

PO Box 270
Powell, WY 82435
Phone (307) 250-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20160415000460 WY Practitioner - Clinical Social Worker 6608174214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 270
Powell, WY 82435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1015LCSWMTMDClinical Social Worker
LCSW-838WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brio & Balance LLC CurrentSince Oct 17, 2018 Accepting new patients
Lauren Graham LLC Clinical CurrentSince Nov 1, 2014 Accepting new patients

Locations

440 Nevada Ave
Lovell, WY 82431
Phone (307) 250-0645

152 N Absaroka St
Apt C
Powell, WY 82435
Phone (307) 250-0645

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1396961835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "82435",
            "telephone_number": "307-250-0645",
            "fax_number": "907-842-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N. ABSAROKA ST. SUITE C",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352207",
            "telephone_number": "307-250-0645",
            "fax_number": "307-247-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LAUREN",
        "middle_name": "ALINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "1015LCSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.