William Graham Wall, LICSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3508-123 Issued in WI

Practice address

4881 Sugar Maple Dr
Wright Patterson Medical Center
Wright Patterson AFB, OH 45433-5546

Phone

(937) 257-6876

NPI assigned

Nov 19, 2005

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851373245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 GLENSHAW DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454345827",
            "telephone_number": "937-257-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "WRIGHT PATTERSON MEDICAL CENTER",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "WILLIAM",
        "middle_name": "GRAHAM",
        "name_prefix": "Mr.",
        "credential": "LICSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3508-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Vansyoc, MD
• Thomas Vaughn, PA-C
• Laura Virgo, MD
• Jacqueline Kate Wade, M.D.
• Elmer F Wahl, MD
• Pamela Phyllis Ward-Demo, MD, DVM
• Alan Ward
• Allan E. Ward, M.D., M.P.H.
• John Gilbert Warnick, D.D.S.
• Kimberly C Warstler, FNP-BC

• Clinical Social Worker in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.