SHANNON M. GRAHAM (NPI# 1639683402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639683402 |
| Entity Type | Individual |
| Full Name | SHANNON M. GRAHAM |
| Credential | LMSW |
| Practice Address |
41 Park Creek Dr Greenville SC 29605-4270 |
| Practice Telephone | 8642991600 |
| Mailing Telephone | 8642991600 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 097934 | NY | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 12300 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649490665 | Shannon Wilson Graham | Clinical Nurse Specialist | 400 Quail Creek Dr, Del Rio, TX 78840-2133 | 2007-05-01 |
| 1700357399 | Shannon Lee Graham | Occupational Therapist | 34505 W 12 Mile Rd Ste 100, Farmington Hills, MI 48331-3287 | 2018-12-08 |
| 1710486873 | Shannon Graham | Counselor | 9701 Apollo Dr Ste 245, Largo, MD 20774-4787 | 2018-02-05 |
| 1750738795 | Shannon Graham | Developmental Therapist | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2016-05-19 |
| 1538571575 | Shannon Renee Graham | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2014-05-27 |
| 1386988392 | Shannon Janelle Graham | Registered Nurse | Duke University Medical Center 2301 Erwin Road, Durham, NC 27710 | 2012-11-15 |
| 1902193568 | Shannon Graham | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2011-07-05 |
| Street Address |
41 PARK CREEK DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243264 | April Keen | Nutritionist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2005-11-28 |
| 1508464991 | Ashley Popham | Physical Therapist | 41 Park Creek Dr, Greenville, SC 29605-2960 | 2020-10-16 |
| 1285241745 | Nathan Andrew Hogue | Social Worker | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2020-09-29 |
| 1598370769 | Anna Blythe Bottino | Nurse Practitioner | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2020-09-14 |
| 1578101242 | Jamie Nagle | Dental Hygienist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-12-12 |
| 1265086953 | Kirstie Brooke Jackson | Licensed Practical Nurse | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-07-31 |
| 1275192874 | Maggie Estelle Asman | Student in an Organized Health Care Education/Training Program | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-06-07 |
| 1205494580 | Tandi Gilmore | Nurse Practitioner | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-06-03 |
| 1194288670 | Haminah Laverne Johnson | Social Worker | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-04-10 |
| 1578057600 | Elora Ommen | Optometrist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593942 | Louise Hudak Pllc | Social Worker | 610 Lynndale Ct Ste D, Greenville, NC 27858-5400 | 2020-09-22 |
| 1982221677 | Stepping Stones Foundation | Social Worker | 100 Meadors Ave, Greenville, SC 29605-1636 | 2020-06-29 |
| 1205497203 | Jacqueline Kamseu Kemdem | Social Worker | 1526 Charles Blvd Apt 111d, Greenville, NC 27858-3407 | 2019-06-21 |
| 1033618962 | Debra Ann Buckingham | Social Worker | 212 E Main St # 895, Greenville, OH 45331-1913 | 2018-02-06 |
| 1447771001 | Rebecca Lynn Moore | Social Worker | 300 Pettigru St Ste 202, Greenville, SC 29601-3113 | 2017-07-03 |
| 1619417672 | Jonathan Kline | Social Worker | 365 W Reed Rd Ste A-1, Greenville, MS 38701-6967 | 2017-02-24 |
| 1851830251 | Jamie Daniel | Social Worker | 2716 Lee St, Greenville, TX 75401-4176 | 2017-02-17 |
| 1992252928 | Alexis Booker | Social Worker | 65 Century Cir Apt 1600l, Greenville, SC 29607-6738 | 2016-09-07 |
| 1811354426 | Lonnie Smith | Social Worker | 1199 E. Russ Rd, Apt/ E-1, Greenville, OH 45331 | 2016-01-27 |
| 1225404429 | Terry Rumler II | Social Worker | 44 Granite Ln, Greenville, SC 29607-5091 | 2015-08-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.