Active NPI
Sumele Graham, LMSW
- Social Worker
- Medford, NY
National Provider Identifier
1508684341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3390 Route 112 Ste a
Medford, NY 11763-1442 - Phone
- (516) 492-5236
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3390 Route 112 Ste a
Medford, NY 11763-1442
Mailing address
1 Farmingdale Road
West Babylon, NY 11704
Phone (516) 492-5236
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | RiseWell Community Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1508684341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FARMINGDALE ROAD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "11704",
"telephone_number": "516-492-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 ROUTE 112 STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117631442",
"telephone_number": "516-492-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "SUMELE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "RiseWell Community Services",
"address_1": "3390 Route 112 Ste A",
"city": "Medford",
"state": "NY",
"country_code": "US",
"postal_code": "117631442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.