| Samantha Lee Graham, LSW | |
|
3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343 | |
| (216) 765-0500 | |
| Not Available |
| Full Name | Samantha Lee Graham |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3401 Enterprise Pkwy Ste 250, Beachwood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508475179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | S.2004891 (Ohio) | Primary |
| Entity Name | Emily Program Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20210604000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lee Graham, LSW 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200 | Samantha Lee Graham, LSW 3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343 Ph: (216) 765-0500 |
Mrs. Diana Jo Leigh, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24100 Chagrin Blvd, Suite 370, Beachwood, OH 44122 Phone: 216-292-6520 Fax: 216-831-2351 | |
Sheryl Markowitz, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24800 Highpoint Rd, Beachwood, OH 44122 Phone: 216-831-6611 | |
Darlene Mason, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23715 Mercantile Rd Ste A203, Beachwood, OH 44122 Phone: 216-292-2880 | |
Joan Arnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23604 Ranch Rd, Beachwood, OH 44122 Phone: 216-360-0662 | |
Mrs. Sarah Elizabeth Dietrich, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23240 Chagrin Blvd Ste 270, Beachwood, OH 44122 Phone: 216-765-0500 | |
Ashley Michelle Gulley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122 Phone: 216-209-7830 | |
Mrs. Lisa Kay Ballinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23366 Commerce Park Ste 100b, Beachwood, OH 44122 Phone: 216-292-2880 |