Active NPI
Jamica Graham
- Social Worker
- Youngstown, OH
National Provider Identifier
1699566901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2512146
- Practice address
- 1350 5TH Ave Ste 322
Youngstown, OH 44504-1765 - Phone
- (731) 935-9267
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2512146 | OH | Primary |
Addresses
Primary practice location
1350 5TH Ave Ste 322
Youngstown, OH 44504-1765
Mailing address
1350 5TH Ave Ste 322
Youngstown, OH 44504-1765
Phone (731) 935-9267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6151 Wilson Mills Rd
Suite 308
Highland Heights, OH 44143-2128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2512146 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1699566901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 5TH AVE STE 322",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041765",
"telephone_number": "731-935-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 5TH AVE STE 322",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041765",
"telephone_number": "731-935-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JAMICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2512146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.