Jonathan I Graham, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6454 Alamo Ave Apt 1W
Clayton, MO 63105-3155

Phone

(501) 247-7240

NPI assigned

Oct 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1497398804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 ALAMO AVE APT 1W",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053155",
            "telephone_number": "501-247-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 ALAMO AVE APT 1W",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053155",
            "telephone_number": "501-247-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JONATHAN",
        "middle_name": "I",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Glik, EDD, LPC
• Go Rides Limited Liability Company
• Lauren Goldberger, LSW
• Herbert Goldman
• Charlene Gottlieb, M.D.
• Nicole Grass, PLPC
• Kathryn Green, MS, LPC, NCC
• Rebekah Green
• Suzanne Greenwald, LCSW MSW
• Suzanne Elizabeth Gregoire, PH.D., D.M.D.

• Clinical Social Worker in Clayton, MO
• Providers in Clayton, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.