Active NPI
Kathleen Susan Graves, PHD
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1902152317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- NO. 1184
- Practice address
- 1805 Academy Dr Ste 101
Anchorage, AK 99507-5301 - Phone
- (907) 244-8711
- Fax
- (907) 333-2754
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NO. 1184 | AK | Primary |
Addresses
Primary practice location
1805 Academy Dr Ste 101
Anchorage, AK 99507-5301
Mailing address
1805 Academy Dr Ste 101
Anchorage, AK 99507-5301
Phone (907) 244-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NO. 1184 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1902152317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 ACADEMY DR STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995075301",
"telephone_number": "907-244-8711",
"fax_number": "907-333-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 ACADEMY DR STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995075301",
"telephone_number": "907-244-8711",
"fax_number": "907-333-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "KATHLEEN",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "NO. 1184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.