Organization Active NPI

Leslie J. Graham, MSW, Lisw-CP, LLC

  • Community/Behavioral Health Agency
  • Mount Pleasant, SC
National Provider Identifier
1629262514
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LISW-CP 8517 Issued in SC
Legal business name
LESLIE J. GRAHAM, MSW, LISW-CP, LLC
Practice address
222 W Coleman Blvd
Mt Pleasant, SC 29464-3494
Phone
(843) 971-4001
Fax
(843) 416-8354
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Ms. Leslie J Graham, MSW
Title
Psychotherapist
Phone
(843) 971-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LISW-CP 8517 SC Primary

Addresses

Primary practice location

222 W Coleman Blvd
Mt Pleasant, SC 29464-3494

Mailing address

222 W Coleman Blvd
Mt Pleasant, SC 29464-3494
Phone (843) 971-4001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1629262514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W COLEMAN BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643494",
            "telephone_number": "843-971-4001",
            "fax_number": "843-416-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COLEMAN BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643494",
            "telephone_number": "843-971-4001",
            "fax_number": "843-416-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE J. GRAHAM, MSW, LISW-CP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "843-971-4001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "LISW-CP 8517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.