Individual provider Active NPI

Dana Leann Graham, LCSW

  • Clinical Social Worker
  • Norman, OK
National Provider Identifier
1710178330
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1946 Issued in OK
Practice address
1800 N Interstate Dr
Dillard Executive Suites, Suite 116
Norman, OK 73072-2993
Phone
(405) 290-1436
Fax
(405) 290-1450
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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 1946 OK Primary

Addresses

Primary practice location

1800 N Interstate Dr
Dillard Executive Suites, Suite 116
Norman, OK 73072-2993

Mailing address

1800 N Interstate Dr
Dillard Executive Suites, Suite 116
Norman, OK 73072-2993
Phone (405) 290-1436

Other identifiers 1

IdentifierTypeStateIssuer
100716710AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230217002716 OK Order and Referring Only - Clinical Social Worker 9133250723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Judith N Fears, LCSW, PLLC Past Accepting new patients
NCC Partners, LLC Clinical PastSince Aug 1, 2016 Accepting new patients
Dana L. Graham LCSW, PLLC Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1710178330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N INTERSTATE DR",
            "address_2": "DILLARD EXECUTIVE SUITES, SUITE 116",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722993",
            "telephone_number": "405-290-1436",
            "fax_number": "405-290-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N INTERSTATE DR",
            "address_2": "DILLARD EXECUTIVE SUITES, SUITE 116",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722993",
            "telephone_number": "405-290-1436",
            "fax_number": "405-290-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DANA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100716710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.