Provider Demographics
NPI:1154141414
Name:GRAHAM-ROBINSON, TATYANA D (LCSWA)
Entity type:Individual
Prefix:
First Name:TATYANA
Middle Name:D
Last Name:GRAHAM-ROBINSON
Suffix:
Gender:
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 S ALSTON AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2696
Mailing Address - Country:US
Mailing Address - Phone:919-371-8022
Mailing Address - Fax:
Practice Address - Street 1:4324 S ALSTON AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5296
Practice Address - Country:US
Practice Address - Phone:919-682-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0210481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical