Individual provider Active NPI

Lauren Lucile Quick-Graham, MSW

  • Clinical Social Worker
  • Morrisville, NC
National Provider Identifier
1619300142
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009574 Issued in NC
Practice address
101 Vista Brooke Dr
Morrisville, NC 27560-9713
Phone
(919) 230-4572
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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 C009574 NC Primary

Addresses

Primary practice location

101 Vista Brooke Dr
Morrisville, NC 27560-9713

Mailing address

11010 Lake Grove Blvd Ste 106
Morrisville, NC 27560-7391
Phone (919) 230-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C009574NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1619300142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 LAKE GROVE BLVD STE 106",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607391",
            "telephone_number": "919-230-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VISTA BROOKE DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609713",
            "telephone_number": "919-230-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK-GRAHAM",
        "first_name": "LAUREN",
        "middle_name": "LUCILE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.