Individual provider Active NPI

Kathryn Erika Graham, MSW, LCSW

  • Clinical Social Worker
  • Warrington, PA
National Provider Identifier
1548878457
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020964 Issued in PA
Practice address
865 Easton Rd Ste 180
Warrington, PA 18976-1879
Phone
(215) 999-4724
Fax
(267) 762-4368
NPI assigned
Jul 16, 2020
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020964 PA Primary

Addresses

Primary practice location

865 Easton Rd Ste 180
Warrington, PA 18976-1879

Mailing address

865 Easton Rd Ste 180
Warrington, PA 18976-1879
Phone (215) 999-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928001229 PA Practitioner - Clinical Social Worker 5597184457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liv Well Associates IncGroup PAC ID 6002060332, 24 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 101
Warminster, PA 18974-2013
Phone (215) 394-8625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie of Bucks LLC CurrentSince Feb 19, 2024 Accepting new patients
Liv Associates, Inc. CurrentSince May 1, 2024 Accepting new patients
Liv Well Associates PastSince May 1, 2024 Accepting new patients
MWS Wellness Corp PastSince Nov 19, 2023 Accepting new patients

Locations

1200 Old York Rd
Ste 101
Warminster, PA 18974
Phone (215) 394-8625

865 Easton Rd
Ste 180
Warrington, PA 18976
Phone (215) 999-4724

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1548878457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 EASTON RD STE 180",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761879",
            "telephone_number": "215-999-4724",
            "fax_number": "267-762-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 EASTON RD STE 180",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761879",
            "telephone_number": "215-999-4724",
            "fax_number": "267-762-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KATHRYN",
        "middle_name": "ERIKA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

Verify at the official NPI Registry.