Organization Active NPI

Steven W. Graham, LCSW

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1760873418
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008870 Issued in CT
Legal business name
STEVEN W. GRAHAM, LCSW
Practice address
1075 Tolland Tpke
Manchester, CT 06042-1609
Phone
(860) 432-9229
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Mr. Steven W Graham, LCSWNPI 1669855896
Title
Licensed Clinical Social Worker
Phone
(860) 432-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 008870 CT Primary

Addresses

Primary practice location

1075 Tolland Tpke
Manchester, CT 06042-1609

Mailing address

63 Summit St
Apt. 14
Manchester, CT 06040-4254
Phone (860) 432-9229

National Provider Directory

National Provider Directory

Locations

1075 Tolland Tpke
Manchester, CT 06042
Phone (860) 432-9229

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1760873418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SUMMIT ST",
            "address_2": "APT. 14",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404254",
            "telephone_number": "860-432-9229",
            "fax_number": "860-432-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 TOLLAND TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421609",
            "telephone_number": "860-432-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W. GRAHAM, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-432-9229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.