Shaquana Byrd Graham, MSW. LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017494 Issued in NC

Practice address

622 Roanoke Ave Ste C
Roanoke Rapids, NC 27870-2740

Phone

(252) 541-3833

NPI assigned

May 1, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Holt Assessment Services

  • Community/Behavioral Health Agency
  • Roanoke Rapids, NC
  • NPI 1831721596
  NPD

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1811632102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 DAVIS MEMORIAL RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709040",
            "telephone_number": "252-673-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 ROANOKE AVE STE C",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702740",
            "telephone_number": "252-541-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SHAQUANA",
        "middle_name": "BYRD",
        "credential": "MSW. LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Health Metrics, LLC
• Shicole Goffington, NP
• Courtney Lynn Gold, NP
• Golden Gate Human Services and Transportation
• Grace Pediatric Therapy Services LLC
• Xavier Malique Gray
• Kristen Green, MS CCC-SLP
• Martha L Green
• Trisha Gund
• Daqing Guo, M.D

• Clinical Social Worker in Roanoke Rapids, NC
• Providers in Roanoke Rapids, 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 May 1, 2022; 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.