JESSICA KAY GRAHAM (NPI# 1902371412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902371412 |
| Entity Type | Individual |
| Full Name | JESSICA KAY GRAHAM |
| Credential | LICSW |
| Practice Address |
4000 W 9th St Duluth MN 55807-1563 |
| Practice Telephone | 2186252675 |
| Practice Fax Number | 2186252698 |
| Mailing Telephone | 2186252685 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
24841 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1215494984 | Jessica Paige Graham | Occupational Therapist | 8202 Elberta Dr, Ellicott City, MD 21043-6658 | 2019-02-28 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1174064836 | Jessica Graham | Specialist/Technologist | 8071 Windy Sea Cir, Huntington Beach, CA 92647-6335 | 2017-03-14 |
| 1831540574 | Jessica Graham | Speech-Language Pathologist | 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2016-06-23 |
| 1588671143 | Jessica Ann Graham | Chiropractor | 1002 S Dakota St, Suite 101, Milbank, SD 57252-2700 | 2006-08-03 |
| 1922612498 | Jessica Ann Graham | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-09-02 |
| 1457992232 | Jessica Erin Graham | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110-1081 | 2019-10-03 |
| 1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
| Street Address |
4000 W 9TH ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1861950503 | Erin C Krois | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2019-03-12 |
| 1831675206 | Anna Kristine Malay | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-07-18 |
| 1528593217 | Samantha Jo Alvar | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2017-05-01 |
| 1336592625 | Northwood Children's Home Society Inc | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2016-07-21 |
| 1124483888 | Patricia Ann Miller | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2015-12-23 |
| 1619362050 | Natalie Solga | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2015-04-02 |
| 1417366378 | Edward Wehmas | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2014-08-05 |
| 1407106396 | Rachel N Rehbein | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2012-09-18 |
| 1003173907 | Melissa Ann Winkler | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366611 | Harvest Moon Mental Health Services, LLC | Social Worker | 1509 E Superior St Apt 203, Duluth, MN 55812-4402 | 2020-08-11 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1205348372 | Viloria C Jackson | Social Worker | 3611 Gray Pl, Duluth, GA 30096-3298 | 2017-10-30 |
| 1992225668 | Splady Therapy Services, LLC | Social Worker | 205 W 2nd St Ste 421, Duluth, MN 55802-1920 | 2017-06-23 |
| 1568999308 | Jim Gaylord | Social Worker | 6208 E Superior St, Duluth, MN 55804-2542 | 2017-05-11 |
| 1962860940 | Devon Maycock | Social Worker | 1027 N 8th Ave E, Duluth, MN 55805-1427 | 2016-02-04 |
| 1457718744 | Matheny Therapy & Consulting, LLC | Social Worker | 5241 N Shore Dr, Duluth, MN 55804-2911 | 2016-01-18 |
| 1689044620 | Mari Trine | Social Worker | 2421 London Rd, Duluth, MN 55812-2222 | 2015-10-02 |
| Find all providers in DULUTH | ||||
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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.