| Mr Michael Graham Sr, LCSW | |
|
796 Highland Avenue, Waterbury, CT 06708-4710 | |
| (203) 757-0151 | |
| (203) 757-0153 |
| Full Name | Mr Michael Graham Sr |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 796 Highland Avenue, Waterbury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861632507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006958 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charlotte Hungerford Hospital | Torrington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Charlotte Hungerford Hospital | 4486557501 | 178 |
| Entity Name | The Charlotte Hungerford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Graham Sr, LCSW 796 Highland Ave, Second Floor, Waterbury, CT 06708-4710 Ph: (203) 757-0151 | Mr Michael Graham Sr, LCSW 796 Highland Avenue, Waterbury, CT 06708-4710 Ph: (203) 757-0151 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 | |
Ms. Shawnday Becerril, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Crisis Center, Waterbury, CT 06708 Phone: 203-573-6500 | |
Nina Thomas, COUNSELOR-PEDUCATOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 East Main Street, Morris Foundation, Inc, Waterbury, CT 06702 Phone: 203-755-1143 Fax: 203-755-1447 |