Provider Demographics
NPI:1134555774
Name:GRAFTON, MARLA G (LCSW)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:G
Last Name:GRAFTON
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 1:509 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:JIM THORPE
Mailing Address - State:PA
Mailing Address - Zip Code:18229-1105
Mailing Address - Country:US
Mailing Address - Phone:215-760-4116
Mailing Address - Fax:
Practice Address - Street 1:509 CENTER AVE
Practice Address - Street 2:
Practice Address - City:JIM THORPE
Practice Address - State:PA
Practice Address - Zip Code:18229-1105
Practice Address - Country:US
Practice Address - Phone:215-760-4116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062041001041C0700X
NYR034954-011041C0700X
PACW0175851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical