- Practice location
- 20 W Canal St Ste C2, Winooski, VT 05404-2146
- Phone
- 802-448-4185
- Fax
- 802-654-7601
- Last updated
- August 31, 2021
Tara Graham is a Social Worker, Clinical based in Winooski, VT. Tara Graham practices in Winooski, VT and has the professional credentials of LICSW. The NPI Number for Tara Graham is 1548478035 and holds a License No. 089-0001122 (VT). The current practice location address for Tara Graham is 20 W Canal St Ste C2, Winooski, VT 05404-2146 and can be reached out via phone at 802-448-4185 and via fax at 802-654-7601.
Provider Profile Details
- NPI Number
- 1548478035
- Provider Name
- Tara Graham
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 W Canal St Ste C2, Winooski, VT 05404-2146
- Phone Number
- 802-448-4185
- Fax Number
- 802-654-7601
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 18, 2007
- Last Update Date
- August 31, 2021
- Certification Date
- August 31, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 W Canal St Ste C2
Winooski, VT 05404-2146 - City
- Winooski
- State
- Vermont
- Zip
- 05404-2146
- Phone Number
- 802-448-4185
- Fax Number
- 802-654-7601
Provider Business Mailing Address Details
- Address
- 5 Pleasant Ave
Burlington, VT 05408-2409 - City
- Burlington
- State
- VT
- Zip
- 05408-2409
- Phone Number
- 802-881-3244
- Fax Number
- 802-654-7601
License Information
- License Number
- 089-0001122
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Winooski, VT
View all Social Worker, Clinical providers in Winooski →- Alice Siegriest, LICSWSocial Worker, Clinical · NPI 1386610012
- Ally Bernstein, LICSWSocial Worker, Clinical · NPI 1477258317
- Christine E Fellerhoff, LCSWSocial Worker, Clinical · NPI 1689419442
- Colin HuntSocial Worker, Clinical · NPI 1447783790
- Dorsey T Naylor, LICSWSocial Worker, Clinical · NPI 1861402208
- Elena S Nichols, LICSWSocial Worker, Clinical · NPI 1013588490
Frequently Asked Questions
What is the NPI number of Tara Graham, LICSW?
The NPI number of Tara Graham, LICSW is 1548478035. It was assigned on May 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Tara Graham, LICSW?
Tara Graham, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0001122.
Where does Tara Graham, LICSW practice?
The practice location is 20 W Canal St Ste C2, Winooski, VT 05404-2146. The office can be reached at 802-448-4185 (phone) or 802-654-7601 (fax).
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 1548478035 directly on the NPPES registry website.