Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane J Gracewski, LICSW

Individual provider Clinical Social Worker · NPI 1104066042

Diane J Gracewski, LICSW is a Clinical Social Worker in Old Saybrook, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

20 Research Pkwy C
Old Saybrook, CT 06475-4214
Phone: (800) 370-3651
Fax: (860) 510-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 002292 (CT)

Record details

NPI number1104066042
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 5, 2009
Last updated in NPPESMarch 5, 2009
Mailing address20 Research Pkwy, C, Old Saybrook, CT 06475-4214

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