Provider Demographics
NPI:1023343597
Name:GRAHAM, JOSEPH M (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:M
Last Name:GRAHAM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LAASE AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-5106
Mailing Address - Country:US
Mailing Address - Phone:207-376-5616
Mailing Address - Fax:207-241-7379
Practice Address - Street 1:12 LAASE AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5106
Practice Address - Country:US
Practice Address - Phone:207-376-5616
Practice Address - Fax:207-241-7379
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical