Michael English Graban, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011764 Issued in NC

Practice address

1822 E NC Highway 54 Ste 300
Durham, NC 27713-3210

Phone

(919) 474-6400

Fax

(919) 474-6401

NPI assigned

Aug 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Youth Villages

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1316170475
  NPD (past)
• Youth Villages

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1720453236
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1750835930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E NC HIGHWAY 54 STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277133210",
            "telephone_number": "919-474-6400",
            "fax_number": "919-474-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 E NC HIGHWAY 54 STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277133210",
            "telephone_number": "919-474-6400",
            "fax_number": "919-474-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Capitola Dr",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277134496",
            "country_code": "US",
            "telephone_number": "919-474-6400 x6374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABAN",
        "first_name": "MICHAEL",
        "middle_name": "ENGLISH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P010819",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkatesh Gowda
• Catherine Pacita Goyeneche, PSYD
• Fidel Goytia, LAC.
• GP Medical Corporation
• GPD Consulting
• Andrew Robert Graber, M.D.
• Grace & Healing Counseling, PLLC
• Grace Behavioral Health Services, LLC
• Grace Home Care Services, Inc.
• Grace Physical Therapy

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.