Individual provider · Type 1 NPI

Nicole S. Grant, PhD

Clinical Social Worker · New York, NY

NPI number 1669988036 Active

Practice location

169 W 133rd St
New York, NY 10030

Fax (646) 762-4955

Mailing address

306 Lenox Ave Fl 3
New York, NY 10027-4465

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200X070547 (NY)
Clinical Social Worker Primary 1041C0700X070547 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1669988036

Nicole S. Grant, PhD's National Provider Identifier is 1669988036, issued on Dec 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Nov 18, 2025.