Alicia Lynn Graham is a Clinical in Toledo, Ohio. Alicia Lynn Graham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alicia Lynn Graham is 1790976744. The last update date is 2018-08-09.
Alicia Lynn Graham's current location address is 6605 West Central Avenue, Toledo, Ohio. You can contact this provider via phone number 4198417701 and fax number 4198411691. The mailing address for Alicia Lynn Graham is 6605 West Central Avenue, Toledo, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Lynn Graham |
|---|---|
| Address | 6605 West Central Avenue, Toledo, Ohio |
| Phone Number | 4198417701 |
| Fax Number | 4198411691 |
| Sole Proprietor | N |
| Credentials | LISW-S |
NPI Number Detail
| NPI Number | 1790976744 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2018-08-09 |
Provider Mailing Address Detail
| Address | 6605 West Central Avenue |
|---|---|
| City | Toledo |
| State | Ohio (OH) |
| Post Code | 436171000 |
| Phone Number | 4198417701 |
| Fax Number | 4198411691 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I.0800184 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1790976744 | OH | -- |
Post Comment/ Review Below
What is the Alicia Lynn Graham's unique identification number?
The Alicia Lynn Graham has been assigned the NPI (National Provider Identifier) Number 1790976744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Alicia Lynn Graham's physical address?
The Alicia Lynn Graham is physically located at 6605 West Central Avenue, in the city of Toledo, OH, with the postal code 436171000.
What is the Alicia Lynn Graham's specialty and taxonomy code?
The Alicia Lynn Graham's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Alicia Lynn Graham receive its 1790976744 assignment from the Centers for Medicare & Medicaid Services?
The Alicia Lynn Graham was assigned its 1790976744 on 2007-08-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Alicia Lynn Graham's information last updated?
The Alicia Lynn Graham's information was last updated on 2018-08-09.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA