Individual provider Active NPI

Dionne Marie Graham, MSW, LISW-S, LICDC

  • Clinical Social Worker
  • Delphos, OH
National Provider Identifier
1518475813
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700656 Issued in OH
Practice address
10100 Elida Rd
Delphos, OH 45833-9056
Phone
(419) 685-8010
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 081035 OH
Clinical Social Worker 1041C0700X I.1700656 OH Primary

Addresses

Primary practice location

10100 Elida Rd
Delphos, OH 45833-9056

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081035OHMDAddiction (Substance Use Disorder) Counselor
I.1700656OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psa 3 Agency on Aging, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Pathways Counseling Center, Inc. CurrentSince Feb 24, 2018 Accepting new patients
Pathways Counseling Center, Inc. CurrentSince Feb 24, 2018 Accepting new patients

Locations

2423 Allentown Rd
Lima, OH 45805
Phone (419) 222-7723

835 N Locust St
Ottawa, OH 45875
Phone (419) 523-4300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1518475813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-685-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DIONNE",
        "middle_name": "MARIE",
        "credential": "MSW, LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphos, OH

Sources for this page

Verify at the official NPI Registry.