Healthcare Provider Details

I. General information

NPI: 1184061574
Provider Name (Legal Business Name): WHITNEY GRAVES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2013
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 H2O PLACE SUITE 12
HAMPSTEAD NC
28443-3066
US

IV. Provider business mailing address

244 TRADEWINDS DR
HAMPSTEAD NC
28443-3816
US

V. Phone/Fax

Practice location:
  • Phone: 910-698-8496
  • Fax:
Mailing address:
  • Phone: 910-616-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: