Provider Demographics
NPI:1821017187
Name:GRAF, HELEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 CHANGEBRIDGE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9839
Mailing Address - Country:US
Mailing Address - Phone:201-678-8886
Mailing Address - Fax:973-575-4590
Practice Address - Street 1:330 CHANGEBRIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9839
Practice Address - Country:US
Practice Address - Phone:201-678-8886
Practice Address - Fax:973-575-4590
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC431501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ040636OtherPTAN