Charlescie Graham, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010978 Issued in NC

Practice address

364 Somerset Dr
Raeford, NC 28376-5437

Phone

(919) 679-2246

NPI assigned

Jul 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revizion Counseling Services, PLLC

  dba Charlescie L Graham

  • Community/Behavioral Health Agency
  • Raeford, NC
  • NPI 1194487868
  Medicare reassignment NPD Authorized official
• Carter Clinic, P a

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1912959834

  Clinical

  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Wilson, NC
  • NPI 1588211049
  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Kinston, NC
  • NPI 1982298261
  NPD (past)
• Carter Clinic, PA

  • Psychiatry Physician
  • Dunn, NC
  • NPI 1215461231
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1952786949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SOMERSET DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765437",
            "telephone_number": "919-679-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SOMERSET DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765437",
            "telephone_number": "919-679-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Skibo Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "28314",
            "country_code": "US",
            "telephone_number": "910-689-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5809 Departure Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276161936",
            "country_code": "US",
            "telephone_number": "919-872-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHARLESCIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21107",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Gonzalez, MS
• Good Deeds (Shanicha)
• Teraefean Goodwin
• Goshen Medical Center Incorporated (Goshen Medical Center - Raeford)
• Grace Health Care Center PLLC (Grace Health & Urgent Care Center)
• Jordan Skye Graham
• Grandma Lucy's Home Care, LLC
• Caitlin J Grant
• Adam Lee Gray-Heim, MSW, LCSW
• Alfred Gray Sr., M.A.,LPC

• Clinical Social Worker in Raeford, NC
• Providers in Raeford, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.