NPIMap

Organization Active NPI

Dana L. Graham LCSW, PLLC

  • Clinical Social Worker
  • Norman, OK
National Provider Identifier
1609148840
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1946 Issued in OK
Legal business name
DANA L. GRAHAM LCSW, PLLC
Practice address
1800 N Interstate Dr Ste 116
Dillard Group Executive Suites
Norman, OK 73072-2995
Phone
(405) 290-1436
Fax
(405) 290-1450
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dana L GrahamNPI 1710178330
Title
Owner
Phone
(405) 290-1436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1946 OK Primary

Addresses

Primary practice location

1800 N Interstate Dr Ste 116
Dillard Group Executive Suites
Norman, OK 73072-2995

Mailing address

1800 N Interstate Dr Ste 116
Dillard Group Executive Suites
Norman, OK 73072-2995
Phone (405) 290-1436

Other identifiers 1

IdentifierTypeStateIssuer
100716710AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1609148840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N INTERSTATE DR STE 116",
            "address_2": "DILLARD GROUP EXECUTIVE SUITES",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722995",
            "telephone_number": "405-290-1436",
            "fax_number": "405-290-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N INTERSTATE DR STE 116",
            "address_2": "DILLARD GROUP EXECUTIVE SUITES",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722995",
            "telephone_number": "405-290-1436",
            "fax_number": "405-290-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA L. GRAHAM LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-290-1436"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100716710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.