Provider Demographics
NPI:1669695334
Name:GRAVES, HAROLD M III (LCSW-C)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:M
Last Name:GRAVES
Suffix:III
Gender:M
Credentials:LCSW-C
Other - Prefix:
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Mailing Address - Street 1:23524 ROLLING FORK WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-2838
Mailing Address - Country:US
Mailing Address - Phone:443-397-7767
Mailing Address - Fax:410-334-6960
Practice Address - Street 1:604 S. FREDERICK ROAD
Practice Address - Street 2:#213
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1282
Practice Address - Country:US
Practice Address - Phone:301-424-3480
Practice Address - Fax:410-334-6960
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MDMD101651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD522156095OtherUNITED BEHAVIORAL HEALTH
MD522156095OtherAPS HEALTHCARE
MD609550001Medicaid
MD517251OtherUNITED HEALTH CARE
MD522156095OtherUNICARE/NCPPO
MDLM49EAOtherCAREFIRST BCBS LOCAL
MDR968OtherCAREFIRST BCBS FEDERAL
MD609550004Medicaid
MD208506201Medicaid
MD774800100Medicaid
MD522156095OtherMHNET BEHAVIORAL HEALTH