Provider Demographics
NPI:1831887371
Name:GRAEF, ELLIE RUHL (LCSW)
Entity type:Individual
Prefix:
First Name:ELLIE
Middle Name:RUHL
Last Name:GRAEF
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 1:15801 BRIXHAM HILL AVE STE 475
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0878
Mailing Address - Country:US
Mailing Address - Phone:704-251-9084
Mailing Address - Fax:877-513-7720
Practice Address - Street 1:15801 BRIXHAM HILL AVE STE 475
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-0878
Practice Address - Country:US
Practice Address - Phone:704-251-9084
Practice Address - Fax:877-513-7720
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD289951041C0700X
NCC0185101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical