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NPI Code Detail

MEDICARE: TANA GRAHAM LMSW

MEDICARE: TANA GRAHAM LMSW
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
11041C0700XClinical Social Worker33013877AIN

General Provider Information

NPI Number : 1912839705
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANA GRAHAM LMSW
Provider Business Mailing Address
First Line : 315 MULBERRY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-421-7494
Provider Business Practice Location Address
First Line : 315 MULBERRY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-421-7494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ TANA GRAHAM LMSW” Practice Location

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