Judy Brannan Graves, LCSW
Social Worker, Clinical in Little Rock, AR. Individual provider (NPI-1).
NPI number1114129178
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114129178
- Entity type
- Individual (NPI-1)
- Name
- Ms. Judy Brannan Graves
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C-102 | AR | Yes |
Practice location
2401 Wentwood Valley Dr Apt 104Little Rock, AR 72212-3651
Phone 501-225-6433 · Fax 501-225-6433
Mailing address
2401 Wentwood Valley Dr Apt 104Little Rock, AR 72212-3651
Phone 501-225-6433 · Fax 501-225-6433
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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