IndividualActive
Alicia Graham, LISW-S
NPI 1790976744 · Clinical Social Worker · Archbold, OH
Provider details
- NPI number
- 1790976744
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW-S
- Sex
- Female
- Sole proprietor
- No
- License
- S.0500348 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
22251 State Route 2
Archbold, OH 43502-9452
Phone: (419) 445-1552
Fax: (419) 445-1401
Approximate (ZIP-level) locationGet directions
Mailing address
17420 County Road 17f
Bryan, OH 43506-9446
Registry dates
- Enumerated
- 2007-08-06
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.