Active NPI
Tychelle Graham, LWSAIC
- Social Worker
- Seattle, WA
National Provider Identifier
1669212080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 61553855
- Practice address
- 2033 6TH Ave Ste 826
Seattle, WA 98121-2593 - Phone
- (206) 414-8918
- NPI assigned
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 61553855 | WA | Primary |
Addresses
Primary practice location
2033 6TH Ave Ste 826
Seattle, WA 98121-2593
Mailing address
2033 6TH Ave Ste 826
Seattle, WA 98121-2593
Phone (206) 414-8918
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61553855 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1669212080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 6TH AVE STE 826",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212593",
"telephone_number": "206-414-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 6TH AVE STE 826",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212593",
"telephone_number": "206-414-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TYCHELLE",
"credential": "LWSAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "61553855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.