Jillian Christina Graham, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 25012 Issued in CA

Practice address

333 S Juniper St Ste 116
Escondido, CA 92025-4924

Phone

(760) 208-7748

NPI assigned

Aug 22, 2012

Last updated

Aug 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345593600000",
    "number": "1790033710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S JUNIPER ST STE 116",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254924",
            "telephone_number": "760-208-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S JUNIPER ST STE 116",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254924",
            "telephone_number": "760-208-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JILLIAN",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Teresa Grace, ATC
• Monika-Maria Grace, PH.D.
• Michele A. Grad, M.D.
• Rachel Elizabeth Graef
• Emma Tien Graham, PHYSICAL THERAPIST
• Katie Graham, CADTP
• Stephanie Nicole Grajales, LCSW
• Michael Grant, CADC-I
• Tamara Jean Grant
• William Gerard Grant, MD

• Clinical Social Worker in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.