Patty Graham, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004916 Issued in WA

Practice address

9300 NE Oak View Dr
Suite a
Vancouver, WA 98662-6347

Phone

(360) 567-2211

Fax

(360) 213-2402

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639211998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE 127TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853035",
            "telephone_number": "360-571-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE OAK VIEW DR",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "360-567-2211",
            "fax_number": "360-213-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PATTY",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Virginia Graham
• Dennis William Graham, DDS
• Karla Jo Graham
• Lisa D Graham, MD
• Marissa Graham, COTA
• Richard Perry Graham, M.D.
• Shannon Helen Graham
• Gregory D. Gramstad, M.D.
• Ramona J Granath, NNP
• Magdalena Grande, MS

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.