Individual provider Active NPI

Sacha J Graham, LMHP-S, MSW, QMHCM

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1811643620
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone
(703) 383-8535
Fax
(703) 653-7008
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Mailing address

7921 Jones Branch Dr Ste 311
MC Lean, VA 22102-3334
Phone (703) 772-5097

Other practice location 1

7921 Jones Branch Dr Ste 311
Mc Lean, VA 22102-3334
Phone (703) 772-5097

Other names 1

  • Sacha Bacchus Graham Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sacha.graham@fairfaxcounty.gov Fairfax co Community Services Board
Direct Messaging Address sacha@postpartumwell.org Postpartum Wellness Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1811643620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 JONES BRANCH DR STE 311",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023334",
            "telephone_number": "703-772-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 WILLOW OAKS CORPORATE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314512",
            "telephone_number": "703-383-8535",
            "fax_number": "703-653-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7921 Jones Branch Dr Ste 311",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221023334",
            "country_code": "US",
            "telephone_number": "703-772-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SACHA",
        "middle_name": "J",
        "credential": "LMHP-S, MSW, QMHCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sacha.graham@fairfaxcounty.gov",
            "affiliation": "Y",
            "affiliationName": "Fairfax co Community Services Board",
            "address_1": "8221 Willow Oaks Corporate Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sacha@postpartumwell.org",
            "affiliation": "Y",
            "affiliationName": "Postpartum Wellness Foundation",
            "address_1": "7921 Jones Branch Dr Ste 311",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221023334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SACHA",
            "last_name": "GRAHAM",
            "middle_name": "BACCHUS",
            "credential": "LMHP-S, MSW, QMHCM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.