Merrill Graham LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MERRILL GRAHAM LLC

Practice address

1550 E Beltline Ave SE Ste 340
Grand Rapids, MI 49506-4362

Phone

(616) 210-3888

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Merrill Graham, PHD, LMSWNPI 1205999174

Title

Clinician

Phone

(616) 210-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merrill Graham Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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, and the practitioner matching its NPPES authorized official.

• Merrill Elizabeth Graham, PH.D, LMSW, RPT

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1205999174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1841860616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 RIVERWOODS DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419290",
            "telephone_number": "616-914-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E BELTLINE AVE SE STE 340",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064362",
            "telephone_number": "616-210-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL GRAHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "616-210-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD14559",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dr.merrillgraham@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1550 E Beltline Ave SE Ste 340",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495064362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Merrill Graham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Merkiel
• Kristyn Andrea Merkle
• Marie Louise Merkx-Quinn, PT, OCS, CERT MDT
• Stella Merpi
• Brittany Ann Merrifield, MD
• Gail Ann Merrill, PA-C
• Kayla Keane Merrill, LMSW
• Paige Merrill
• Bryce Allen Merritt, MD
• Timothy Devon Merriweather

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.