Provider Demographics
NPI:1730510496
Name:GRAFTON, MARJORIE (MSW, LISW)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:GRAFTON
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ZOLLINGER RD
Mailing Address - Street 2:5TH FL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2849
Mailing Address - Country:US
Mailing Address - Phone:614-293-9600
Mailing Address - Fax:614-366-0954
Practice Address - Street 1:1800 ZOLLINGER RD
Practice Address - Street 2:5TH FL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2849
Practice Address - Country:US
Practice Address - Phone:614-293-9600
Practice Address - Fax:614-366-0954
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 14503861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical