| Nicole E. Grace, Lcsw, Psya, Llc | |
|
14-25 Plaza Rd Suite N 2-4 Fair Lawn NJ 07410-3546 | |
| (201) 803-9193 | |
| Not Available |
| Full Name | Nicole E. Grace, Lcsw, Psya, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14-25 Plaza Rd, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Nicole Edward Grace (OWNER) |
| Authorized Official Contact | 2018039193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole E. Grace, Lcsw, Psya, Llc 14-25 Plaza Rd Suite N 2-4 Fair Lawn NJ 07410-3546 Ph: (201) 803-9193 | Nicole E. Grace, Lcsw, Psya, Llc 14-25 Plaza Rd Suite N 2-4 Fair Lawn NJ 07410-3546 Ph: (201) 803-9193 |
| NPI Number | 1801167085 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 02/15/2012 |
| Medicare PECOS PAC ID | 3577722974 |
|---|---|
| Medicare Enrollment ID | O20120305000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801167085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole E Grace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164526620 PECOS PAC ID: 7911954607 Enrollment ID: I20050405000703 |
Natasha G Baron Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12-15 Broadway, 2a, Fair Lawn, NJ 07410 Phone: 201-334-2537 | |
Metropolitan Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5-11 Saddle River Rd, Suite 6, Fair Lawn, NJ 07410 Phone: 201-794-9797 Fax: 201-254-9650 | |
Choicepoint Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23-00 Route 208 Ste 2-9, Fair Lawn, NJ 07410 Phone: 844-445-2563 | |
Mh At Fair Lawn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16-01 Broadway, Fair Lawn, NJ 07410 Phone: 201-797-0001 | |
Ketamine Care Mental Health Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8-02 Plymouth Dr, Fair Lawn, NJ 07410 Phone: 718-687-7924 | |
Mhs Mental Healthcare Associates Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14-25 Plaza Rd Ste S22, Fair Lawn, NJ 07410 Phone: 201-873-8583 | |
Fair Lawn Behavioral Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12-15 Broadway, Fair Lawn, NJ 07410 Phone: 404-451-2334 Fax: 201-837-2027 |