Taylor Graham, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1101 Bombay LN
Roswell, GA 30076-5832

Phone

(404) 450-1808

NPI assigned

Sep 2, 2020

Last updated

Apr 8, 2025By the provider in NPPES

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

Other identifiers 1

Other names 1

• Taylor Headen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1487268926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SNOW BIRD DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283528",
            "telephone_number": "256-322-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765832",
            "telephone_number": "404-450-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TAYLOR",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710289541",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theranest",
            "affiliation": "Y",
            "endpointDescription": "Electronic Health Record",
            "affiliationName": "Safeway Behavioral Health - Southeast, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1101 Bombay Ln",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "HEADEN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harris Nathan Gottlieb, LMFT
• Catherine Avery Gouge, MS, APC, NCC
• Henna Sonal Vasudev Govan, PHARM.D.
• Elizabeth Paige Graben
• Corie Johnson Grabowski, FNP-C
• Miles H. Graivier, M.D.
• Jerelan Grant
• Sasha Grant, RN
• Abbey Grantham
• Caroline Graves, APC

• Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.