Diane Michelle Graham

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60441071 Issued in WA

Practice address

18415 E Sharp Ave
Spokane Valley, WA 99016-8524

Phone

(509) 655-4425

NPI assigned

Nov 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diane Michelle Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1487311692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18415 E SHARP AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168524",
            "telephone_number": "509-655-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18415 E SHARP AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168524",
            "telephone_number": "509-655-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DIANE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60441071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "SPENCER",
            "middle_name": "MICHELLE",
            "credential": "LICSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert S Gordon, PT CPT
• Graceful Adult Family Home LLC.
• Gracehaven Afh LLC
• Ann Marie Graczyk, MA,CCC-SLP
• Chamellia Graham
• Ebony Montezz Graham
• James Scott Graham, M.S.
• Kelsey Michelle Graham, LMFT
• Grande Creek Afh LLC
• Veronica Granger, RN

• Clinical Social Worker in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.