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Contact Information

JOAN M GRAHAM, LCSW
34 MARYS LN
CENTERPORT, NY11721-1118
 Phone: 631-757-4670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JOAN M GRAHAM · (Female)

NPI Number 1215029665
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/29/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # PRJO11593-1
  • NY License # PRO11593-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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