Nicole Kimberly Grant, LMSW
Social Worker in New York, NY. Individual provider (NPI-1).
NPI number1235802471
StatusActive
Last updated in NPPESJul 25, 2021
Details
- NPI
- 1235802471
- Entity type
- Individual (NPI-1)
- Name
- Nicole Kimberly Grant
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2021
- Certification date
- Jul 25, 2021
- Last updated
- Jul 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
1 Gustave L Levy PlNew York, NY 10029-6504
Phone 212-241-3179
Mailing address
1 Gustave L Levy PlNew York, NY 10029-6504
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