MS. EBONESHA M GRAHAM LMSW
NPI 1003166778
Social Worker - School in Rochester, NY

Active since September 10, 2012Accepts Medicare Assignment
180 RIDGEWAY AVE, ROCHESTER, NY 14615(585) 794-0641 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ebonesha M Graham Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EBONESHA M GRAHAM LMSW (NPI 1003166778) is an individual school provider in Rochester, New York, licensed in New York (083851-1) and active in the NPI registry since September 2012. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1003166778
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMS. EBONESHA M GRAHAMCredential: LMSW
Location Address180 RIDGEWAY AVERochester, NY 14615-3636
Mailing Address10 Eagle StRochester, NY 14608-2230 · (585) 794-0641
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 10, 2012
NPI 1003166778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License Licensed in NY · 083851-1
180 RIDGEWAY AVE, Rochester, NY 14615

Other Identifiers 1

Other083851-1NY · Licensed Social Worker

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Ebonesha M Graham Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800134032
PECOS Enrollment IDI20190214000988

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (School)
180 RIDGEWAY AVE
ROCHESTER, NY 14615
Social Worker (School)
180 RIDGEWAY AVE
ROCHESTER, NY 14615
Social Worker (Clinical)
180 RIDGEWAY AVE, JOHN MARSHALL HIGH SCHOOL
ROCHESTER, NY 14615
Social Worker
180 RIDGEWAY AVE
ROCHESTER, NY 14615
Social Worker (School)
180 RIDGEWAY AVE
ROCHESTER, NY 14615
Nurse Practitioner (Pediatrics)
180 RIDGEWAY AVE
ROCHESTER, NY 14615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebonesha Graham's NPI number?

The NPI number for Ebonesha Graham is 1003166778. It was assigned to this individual provider in the NPPES registry on September 10, 2012.

Where is Ebonesha Graham located?

Ebonesha Graham practices at 180 Ridgeway Ave, Rochester, NY 14615. The listed phone number is (585) 794-0641.

What is Ebonesha Graham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Ebonesha Graham enrolled in Medicare?

Yes. Ebonesha Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ebonesha Graham was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.