MEDICARE: HEIDI GRAVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1144171216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI GRAVER

Provider Business Mailing Address
First Line	:	8025 LINCOLN ST
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-2515
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8025 LINCOLN ST
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91945-2515
Country	:	US
Telephone Number	:	619-825-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ HEIDI GRAVER ” Practice Location

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