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

Individual provider Clinical Social Worker · NPI 1497410302

Grace Wong, LLMSW is a Clinical Social Worker in Southfield, Michigan. Qualified in 2021, 5 years ago. Registered with an NPI since 2021.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404
Phone: (866) 703-1901
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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

Record details

NPI number1497410302
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021
Mailing address20411 W 12 Mile Rd Ste 101, Southfield, MI 48076-6404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Southfield