Active NPIIndividual providerSole proprietor

Nicole E Grace, LCSW, PSYA

Social Worker, Clinical in Fair Lawn, New Jersey

NPI Number1164526620
Practice location
14-25 Plaza RD, Suite N 2-4, Fair Lawn, NJ 07410-3546
Fax
—
Last updated
March 2, 2012

Nicole E. Grace is a Social Worker, Clinical based in Fair Lawn, NJ. Nicole E. Grace practices in Fair Lawn, NJ and has the professional credentials of LCSW, PSYA. The NPI Number for Nicole E. Grace is 1164526620 and holds a License No. 44SC04646100 (NJ). The current practice location address for Nicole E. Grace is 14-25 Plaza RD, Suite N 2-4, Fair Lawn, NJ 07410-3546 and can be reached out via phone at 201-803-9193.

Provider Profile Details

NPI Number
1164526620
Provider Name
Nicole E. Grace
Credential
LCSW, PSYA
Provider Entity Type
Individual
Gender
Female
Address
14-25 Plaza RD, Suite N 2-4, Fair Lawn, NJ 07410-3546
Phone Number
201-803-9193
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2006
Last Update Date
March 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
14-25 Plaza RD
Suite N 2-4
Fair Lawn, NJ 07410-3546
Zip
07410-3546
Phone Number
201-803-9193
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
14-25 Plaza RD
Suite N 2-4
Fair Lawn, NJ 07410-3546
City
Fair Lawn
State
NJ
Zip
07410-3546
Phone Number
201-803-9193

License Information

License Number
44SC04646100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole E Grace, LCSW, PSYA?

The NPI number of Nicole E Grace, LCSW, PSYA is 1164526620. It was assigned on September 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole E Grace, LCSW, PSYA?

Nicole E Grace, LCSW, PSYA is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04646100.

Where does Nicole E Grace, LCSW, PSYA practice?

The practice location is 14-25 Plaza RD, Suite N 2-4, Fair Lawn, NJ 07410-3546. The office can be reached at 201-803-9193 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164526620 directly on the NPPES registry website.

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