TAMARA GRAHAM (MSW) – Mental Health Counselor, NPI 1164960522

TAMARA GRAHAM (MSW) is a healthcare provider. based in Delta, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. The NPI Number for TAMARA GRAHAM (MSW) is 1164960522

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA GRAHAM (MSW)
NPI
1164960522
Phone
(970) 874-0464
Address
115 GRAND AVE STE 2
Enumeration Date
6 February 2017
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704974921
Graduation Year
2018 (8 years ago)
PAC ID
8628414711
Group Practice PAC ID
9931411048
Professional Enrollment ID
I20240312000920
Address ID
CO814015027MO1550XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:9State licenses:0Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for TAMARA GRAHAM (MSW)

  • 115 GRAND AVE STE 2

    DELTA, CO 814162000

    Phone: (970) 874-0464

    Type: Mailing

  • 115 Grand Ave Ste 2

    Delta, CO 814162000

    Phone: (970) 874-0464

    Type: Location

  • 1550 Niagara Rd

    Montrose, CO 814015027

    Phone: (970) 497-4921

    Fax: (855) 855-4482

    Type: Location

  • 115, Grand Avenue, Delta, Delta County, Colorado, 81416, United States

    STE 2

    DELTA, CO 814162000

    Phone: (970) 874-0464

    Type: Mailing

  • 515, 28 3/4 Road, Grand Junction, Mesa County, Colorado, 81501, United States

    GRAND JUNCTION, CO 815015016

    Phone: (970) 263-4918

    Fax: (970) 683-7278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240312000920IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931411048View full group profile
NameSpecialtyState
Clinical PsychologistAL
-CO
-CO
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO
Family PracticeCO
Family PracticeAZ
Physician AssistantCO

Reviews

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Frequently asked questions

What unique ID ties claims to TAMARA GRAHAM (MSW)?
NPI 1164960522 is assigned to TAMARA GRAHAM (MSW) under the national enumeration system.
Is TAMARA GRAHAM (MSW) active in the national directory?
TAMARA GRAHAM (MSW)'s public NPI profile is in an active state.
What does TAMARA GRAHAM (MSW) treat or focus on?
Patients typically see TAMARA GRAHAM (MSW) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does TAMARA GRAHAM (MSW) practice in Colorado?
You will see Delta, Colorado on file for TAMARA GRAHAM (MSW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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