Individual provider Active NPI

Harold M Graves III, LCSW-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1669695334
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MD10165 Issued in MD
Practice address
604 S. Frederick Road
#213
Gaithersburg, MD 20877-1282
Phone
(301) 424-3480
Fax
(410) 334-6960
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X MD10165 MD Primary

Addresses

Primary practice location

604 S. Frederick Road
#213
Gaithersburg, MD 20877-1282

Mailing address

23524 Rolling Fork Way
Gaithersburg, MD 20882-2838
Phone (443) 397-7767

Other identifiers 11

IdentifierTypeStateIssuer
522156095OtherMDUNITED BEHAVIORAL HEALTH
522156095OtherMDAPS HEALTHCARE
609550001MedicaidMD
517251OtherMDUNITED HEALTH CARE
522156095OtherMDUNICARE/NCPPO
LM49EAOtherMDCAREFIRST BCBS LOCAL
R968OtherMDCAREFIRST BCBS FEDERAL
609550004MedicaidMD
208506201MedicaidMD
774800100MedicaidMD
522156095OtherMDMHNET BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110623000217 DC Practitioner - Clinical Social Worker 2365540333 Practice locations: Silver Spring, MD; Gaithersburg, MD; Rockville, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23524 Rolling Fork Way
Gaithersburg, MD 20882-2838

604 S Frederick Ave
Suite 213
Gaithersburg, MD 20877-1282
Phone (301) 424-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD10165MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1669695334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23524 ROLLING FORK WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208822838",
            "telephone_number": "443-397-7767",
            "fax_number": "410-334-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S. FREDERICK ROAD",
            "address_2": "#213",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771282",
            "telephone_number": "301-424-3480",
            "fax_number": "410-334-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "HAROLD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "MD10165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "517251",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/NCPPO",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS LOCAL",
            "identifier": "LM49EA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS FEDERAL",
            "identifier": "R968",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208506201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774800100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHNET BEHAVIORAL HEALTH",
            "identifier": "522156095",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.