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

MS. Sally Grace Ulmer, LCSW

Individual provider Clinical Social Worker · NPI 1083287569

MS. Sally Grace Ulmer, LCSW is a Clinical Social Worker in Oakland, California. Qualified in 2021, 5 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3451 E 12th St
Oakland, CA 94601-3463
Phone: (510) 535-2956
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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 123315 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 102626 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1083287569
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESJune 25, 2024
Certification dateJuly 26, 2021

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)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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