Individual provider Active NPI

Sean Caldwell Graham, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1689681900
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008267 Issued in VA
Practice address
228 S Washington St Ste 310
Alexandria, VA 22314-5404
Phone
(703) 935-0058
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008267 VA Primary

Addresses

Primary practice location

228 S Washington St Ste 310
Alexandria, VA 22314-5404

Mailing address

228 S Washington St Ste 310
Alexandria, VA 22314-5404
Phone (703) 938-0058

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
I20141112001987 DC Practitioner - Clinical Social Worker 8628290384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008267VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Cowan, LLC CurrentSince Nov 24, 2025 Accepting new patients
Dr. Goldberg & Associates PastSince Oct 20, 2024 Accepting new patients

Locations

228 S Washington St
Ste 310
Alexandria, VA 22314
Phone (917) 841-5184

110 Pleasant St NW
Ste D
Vienna, VA 22180

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1689681900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S WASHINGTON ST STE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145404",
            "telephone_number": "703-938-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S WASHINGTON ST STE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145404",
            "telephone_number": "703-935-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SEAN",
        "middle_name": "CALDWELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.