Ms Alicia Lynn Graham, LISW-S is a
Social Worker - Clinical based in Archbold, Ohio. Ms Alicia Lynn Graham is licensed to practice in Ohio (license number I.0800184-SUPV) and her current practice location is
22251 State Route 2, Archbold, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 445-1552.
NPI number for Ms Alicia Lynn Graham is 1790976744 and her current mailing address is 17420 County Road 17f, Bryan, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790976744.
Healthcare Provider's Profile
Full Name | Ms Alicia Lynn Graham |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 22251 State Route 2, Archbold, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790976744
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Ms Alicia Lynn Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790976744 | NPI | - | NPPES |
0166914 | Medicaid | OH | |
1790976744 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | S.0500348 (Ohio) | Secondary |
104100000X | Social Worker | I.0800184 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.0800184-SUPV (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Alicia Lynn Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Alicia Lynn Graham, LISW-S 17420 County Road 17f, Bryan, OH 43506-9446 Ph: (419) 310-9524 | Ms Alicia Lynn Graham, LISW-S 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552 |
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