Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Alicia Lynn Graham, LISW-S

Individual provider Mental Health Counselor · NPI 1790976744

MS. Alicia Lynn Graham, LISW-S is a Clinical Social Worker in Archbold, Ohio. Qualified in 2006, 20 years ago. Practices with Shalom Ministries, a 7-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2007
Specialties on file
3

Practice location Address checks out

22251 State Route 2
Archbold, OH 43502-9452
Phone: (419) 445-1552
Fax: (419) 445-1401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.0800184-SUPV (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence S.0500348 (OH)
Social Worker Taxonomy 104100000X · Licence I.0800184 (OH)

Record details

NPI number1790976744
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Shalom Ministries — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Archbold