LAURA GRAHAM
NPI 1598463705
Peer Specialist in Massapequa, NY

Active since February 16, 2023
75 GRAND AVE, MASSAPEQUA, NY 11758(516) 799-3203 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laura Graham NPPES

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

LAURA GRAHAM (NPI 1598463705) is an individual peer specialist in Massapequa, New York, licensed in New York (CRPA-5035) and active in the NPI registry since February 2023. She maintains a secondary practice location in Massapequa.

NPPES Registry Identity

NPI1598463705
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLAURA GRAHAM
Location Address75 GRAND AVEMassapequa, NY 11758-4905
Mailing Address75 Grand AveMassapequa, NY 11758-4905 · (516) 799-3203
Sole ProprietorYes
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
NPI 1598463705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NY · CRPA-5035
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

75 GRAND AVE, Massapequa, NY 11758

Secondary Practice Location 1

Location 175 Grand AveMassapequa, NY 11758-4905 · Phone (516) 799-3203

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Counselor (Mental Health)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Marriage & Family Therapist
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Counselor (Addiction (Substance Use Disorder))
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Counselor (Mental Health)
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598463705, enumerated as an "individual" on February 16, 2023.

The provider is located at 75 GRAND AVE MASSAPEQUA, NY 11758 and the phone number is (516) 799-3203.

Peer Specialist with taxonomy code 175T00000X.