Active NPI
Harold M Graves III, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1669695334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MD10165
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522156095 | Other | MD | UNITED BEHAVIORAL HEALTH |
| 522156095 | Other | MD | APS HEALTHCARE |
| 609550001 | Medicaid | MD | |
| 517251 | Other | MD | UNITED HEALTH CARE |
| 522156095 | Other | MD | UNICARE/NCPPO |
| LM49EA | Other | MD | CAREFIRST BCBS LOCAL |
| R968 | Other | MD | CAREFIRST BCBS FEDERAL |
| 609550004 | Medicaid | MD | |
| 208506201 | Medicaid | MD | |
| 774800100 | Medicaid | MD | |
| 522156095 | Other | MD | MHNET 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD10165 | MD | MD | Clinical 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
- Grace International Services LLC (GIS Medical & Surgical Supplies)
- Stephen Grace, DDS
- Gracewell Healthcare Corp (Gracewell Residential Home)
- Ahlan Seven Graham
- Amanda Le Grant, PHARMD
- Ella Mae Gray, M.A., LCPC
- Georgia Charlotte Gray
- Greater Maryland Oral Surgery Center LLC
- Green Pharmacy LLC (Green Pharmacy)
- Cherish Green
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.