Active NPIIndividual provider

Samantha L Graham, LSW

Social Worker, Clinical in Beachwood, Ohio

NPI Number1508475179
Practice location
3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343
Fax
—
Last updated
November 19, 2021

Samantha Lee Graham is a Social Worker, Clinical based in Beachwood, OH. Samantha Lee Graham practices in Beachwood, OH and has the professional credentials of LSW. The NPI Number for Samantha Lee Graham is 1508475179 and holds a License No. S.2004891 (OH). The current practice location address for Samantha Lee Graham is 3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343 and can be reached out via phone at 216-765-0500.

Provider Profile Details

NPI Number
1508475179
Provider Name
Samantha Lee Graham
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343
Phone Number
216-765-0500
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2020
Last Update Date
November 19, 2021
Certification Date
November 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
State
Ohio
Zip
44122-7343
Phone Number
216-765-0500
Beachwood, OH 44122Get directions →

Provider Business Mailing Address Details

Address
901 Washington Ave Ste 100
Portland, ME 04103-2842
City
Portland
State
ME
Zip
04103-2842
Phone Number
207-871-1200
Fax Number
207-871-1232

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
S.2004891
License State (2)
OH
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha L Graham, LSW?

The NPI number of Samantha L Graham, LSW is 1508475179. It was assigned on July 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Samantha L Graham, LSW?

Samantha L Graham, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OH under license number S.2004891.

Where does Samantha L Graham, LSW practice?

The practice location is 3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343. The office can be reached at 216-765-0500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508475179 directly on the NPPES registry website.

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