| Geoffrey Cooper Graham, LCSW | |
|
848 Marcheta St, Altadena, CA 91001-2580 | |
| (443) 690-5329 | |
| (866) 488-8170 |
| Full Name | Geoffrey Cooper Graham |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 848 Marcheta St, Altadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386289361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 86069 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | C016205 (North Carolina) | Primary |
| Entity Name | Hospice Of Henderson County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275528176 PECOS PAC ID: 4880507466 Enrollment ID: O20031110000526 |
| Entity Name | Complete Peace, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578235156 PECOS PAC ID: 0143610261 Enrollment ID: O20211203002501 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey Cooper Graham, LCSW 101 Beverly Ave, Hendersonville, NC 28792-5403 Ph: (443) 690-5329 | Geoffrey Cooper Graham, LCSW 848 Marcheta St, Altadena, CA 91001-2580 Ph: (443) 690-5329 |
February Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793 | |
Christian Mares Gasca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 Allen Ave Rm 100, Altadena, CA 91001 Phone: 626-396-5920 | |
Mrs. Retha Maria De Johnette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Royce St, Altadena, CA 91001 Phone: 626-695-9885 | |
Mrs. Cammie Warner Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 323-221-4134 | |
Mrs. Karen Denise Richardson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 E Pine St, Altadena, CA 91001 Phone: 626-429-8652 Fax: 626-296-2850 | |
Merrick Drake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 654 E Calaveras St, Altadena, CA 91001 Phone: 714-932-0630 | |
Mr. Tucker Croxall Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 Allen Ave Rm 100, Altadena, CA 91001 Phone: 626-660-9419 |