Model of Resilience Psychotherapy Lcsw PLLC
NPI 1073374781ActiveOrganization· Social Worker, Clinical· Rochester, NY
Social Worker, Clinical in Rochester, New York, registered in NPPES in January 2024. The authorized official on file is Ebonesha Graham, LCSW, Owner.
Overview
| NPI | 1073374781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2024 |
| Last updated in NPPES | Jan 19, 2024 |
| Certified by provider | Jan 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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