Betty O Graves, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001294 Issued in VA

Practice address

13649 Office Place
Suite 102
Woodbridge, VA 22192

Phone

(703) 670-5738

Fax

(703) 670-8213

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Renee Burdett, MD PC

  • Multi-Specialty Clinic/Center
  • Woodbridge, VA
  • NPI 1760540967
  NPD (past)
• TMS Neurohealth Centers Woodbridge LLC

  • Clinic/Center
  • Woodbridge, VA
  • NPI 1942662259
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1578633962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PLACE",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PLACE",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "BETTY",
        "middle_name": "O",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "256401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracetouch Psychiatry and Wellness PLLC
• Irina Grandjean, FNP-C
• Antia Elease Grant, RN
• Silbert Harrison Grant, LCSW
• Yaritza Grant, DNP, CRNA
• Nancy Jane Graves, O.D.
• Paula Graves
• Angela Denean Gray, PHARMD
• Misti S Gray, WHNP
• Marjorie Graziano, CRNP

• Clinical Social Worker in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.