Individual provider Active NPI

Leslie F. Graham, LICSW

  • Clinical Social Worker
  • Kent, WA
National Provider Identifier
1669577714
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00007570 Issued in WA
Practice address
23213 Pacific Hwy S
Kent, WA 98032-2721
Phone
(206) 520-5000
NPI assigned
Sep 13, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00015675 WA
Clinical Social Worker 1041C0700X LW00007570 WA Primary

Addresses

Primary practice location

23213 Pacific Hwy S
Kent, WA 98032-2721

Mailing address

PO Box 359750
Seattle, WA 98195-9750
Phone (206) 520-5000

Other identifiers 1

IdentifierTypeStateIssuer
8902748OtherWAL&I CRIME VICTIMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgraham@uwpn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130812000635 WA Practitioner - Clinical Social Worker 6608018247 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC00015675WAMDCounselor
LW00007570WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Dec 17, 2023 Accepting new patients
The Association of University Physicians CurrentSince Jul 1, 2013 Accepting new patients
University of Washington CurrentSince Dec 17, 2023 Accepting new patients
University of Washington Current Accepting new patients

Locations

23213 Pacific Hwy S
Kent, WA 98032
Phone (206) 724-2897

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1669577714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359750",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981959750",
            "telephone_number": "206-520-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23213 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322721",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LESLIE",
        "middle_name": "F.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00015675",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS",
            "identifier": "8902748",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgraham@uwpn.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23213 Pacific Hwy S",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980322721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.