Organization Active NPI

Kimberly P. McGraw LCSW LLC

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1497034797
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004435 Issued in GA
Legal business name
KIMBERLY P. MCGRAW LCSW LLC
Practice address
107 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone
(912) 353-7699
Fax
(912) 353-9879
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Ms. Kimberly Pickelsimer McGraw, LCSW
Title
Sole Member/Administrator
Phone
(912) 713-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW004435 GA Primary

Addresses

Primary practice location

107 Oglethorpe Professional CT
Savannah, GA 31406-3623

Mailing address

116 Talbot Rd
Savannah, GA 31410-4016
Phone (912) 713-3705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1497034797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TALBOT RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314104016",
            "telephone_number": "912-713-3705",
            "fax_number": "912-353-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-353-7699",
            "fax_number": "912-353-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY P. MCGRAW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PICKELSIMER",
        "authorized_official_title_or_position": "SOLE MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "912-713-3705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.