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

Individual provider Clinical Social Worker · NPI 1164526620

Nicole E. Grace, LCSW, PSYA is a Clinical Social Worker in Fair Lawn, New Jersey. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2006
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

14-25 Plaza Rd Ste N 2-4
Fair Lawn, NJ 07410-3546
Phone: (201) 803-9193
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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 44SC04646100 (NJ)

Record details

NPI number1164526620
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PSYA
Sole proprietorYes
NPI enumeratedSeptember 12, 2006
Last updated in NPPESMarch 2, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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