Active NPI
Simona S Graham, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1982902607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 081410
- Practice address
- 50 E 168TH St # 98
Bronx, NY 10452-7929 - Phone
- (718) 293-3900
- Fax
- (718) 293-3980
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 081410 | NY | Primary |
Addresses
Primary practice location
50 E 168TH St # 98
Bronx, NY 10452-7929
Mailing address
PO Box 95000
Philadelphia, PA 19195-4655
Phone (800) 444-6020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1982902607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191954655",
"telephone_number": "800-444-6020",
"fax_number": "845-256-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E 168TH ST # 98",
"city": "BRONX",
"state": "NY",
"postal_code": "104527929",
"telephone_number": "718-293-3900",
"fax_number": "718-293-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "SIMONA",
"middle_name": "S",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "081410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.