Patricia F Graves, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ISW00739 Issued in RI

Practice address

23 North Rd
Lily Pads Professional Center
Wakefield, RI 02879-2176

Phone

(401) 782-6149

Fax

(401) 782-6149

NPI assigned

Jan 6, 2007

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

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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508914755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WOODRUFF AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793537",
            "telephone_number": "401-782-6149",
            "fax_number": "401-782-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH RD",
            "address_2": "LILY PADS PROFESSIONAL CENTER",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792176",
            "telephone_number": "401-782-6149",
            "fax_number": "401-782-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW00739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Goretaya, LCSW
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• Chelsea Erin Graham, D.O.
• John D Graham, MD
• Heather Mae Grant, PHARM.D.
• Green Line Apothecary LLC
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• Green Line Express LLC
• Terese Tanski Gregg, LICSW
• James Francis Griffin, D.O.

• Mental Health Counselor in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.