National Provider Identifier

Ebonesha M Graham, LMSW

Ebonesha M Graham, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 794-0641.

NPI 1003166778Rochester, NYSchool Social Worker

Profile Overview

NPI
1003166778
Provider Type
Individual
Primary Specialty
School Social Worker
Enumeration Date
September 10, 2012
Last Updated
September 10, 2012

Practice Location

  • 180 Ridgeway Ave
  • Rochester, NY 14615-3636

Phone: (585) 794-0641

Mailing Address

  • 10 Eagle St
  • Rochester, NY 14608-2230

Specialties

  • School Social Worker (1041S0200X)
Full Record
NPI
1003166778
Entity Type
Individual
Last Name
Graham
First Name
Ebonesha
Middle Name
M
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
10 Eagle St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2230
Mailing Country
US
Mailing Phone
(585) 794-0641
Practice Street Address
180 Ridgeway Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3636
Practice Country
US
Practice Phone
(585) 794-0641
Enumeration Date
September 10, 2012
Last Updated
September 10, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Social Worker (1041S0200X)
Other Identifiers
083851-1 (NY, Licensed Social Worker)