Lauren Graham LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-838 Issued in WY

Legal business name

LAUREN GRAHAM LLC

Practice address

323 N Division St
Powell, WY 82435-2207

Phone

(307) 250-0645

Fax

(888) 247-7592

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Lauren Aline Graham, LCSWNPI 1396961835

Title

Owner

Phone

(307) 250-0645

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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

• Lauren Aline Graham, LCSW

  • Clinical Social Worker
  • Powell, WY
  • NPI 1396961835
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1831680636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824350270",
            "telephone_number": "307-250-0645",
            "fax_number": "888-247-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N DIVISION ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352207",
            "telephone_number": "307-250-0645",
            "fax_number": "888-247-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN GRAHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ALINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-250-0645",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-838",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WY",
            "license": "LCSW-838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142204900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramsey Lamb, RPH
• Charles O. Lambiotte, MD
• Espri Keaton Lance
• James Robert Larsen Jr., A.T.C. L.A.T.
• Doni Lauk, B.A.
• Ursula Lawson
• Carissa Lee, M.S., CCC-SLP
• Melanie Lennon, CPM, LM, ASM, CD
• Antony Moore Lewis, RPH
• Tabbie Ley, PPC

• Clinical Social Worker in Powell, WY
• Providers in Powell, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.