Bryanna Elyce Graham, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6906-C Issued in AR

Practice address

101 New York Ave
Fort Worth, TX 76104-1558

Phone

(817) 313-4017

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1679912893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 SHORE POINT TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761197026",
            "telephone_number": "682-359-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NEW YORK AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041558",
            "telephone_number": "817-313-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 S Laurel St",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716014859",
            "country_code": "US",
            "telephone_number": "870-534-4900",
            "fax_number": "870-534-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BRYANNA",
        "middle_name": "ELYCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6906-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020092",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6906-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Grady, OTR
• Emily Kay Graf, LMSW
• Jenna L Graf, FNP
• Abram Keith Graham, D.O
• Briana M Graham, LCDC
• Dan R. Graham, LPC, NCC, BCPCC
• Dea L Graham, L.P.C.
• Deborah V Graham, LCPO
• Jack M Graham, M.D.
• Janice Graham

• Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.