Individual provider Active NPI

Grace McCleary Williams, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1104599216
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100061 Issued in NY
Practice address
167 W 21St St Ste 2S
New York, NY 10011-3200
Phone
(626) 390-5200
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100061 NY Primary

Addresses

Primary practice location

167 W 21St St Ste 2S
New York, NY 10011-3200

Mailing address

481 Montgomery St Apt 1F
Brooklyn, NY 11225-3022
Phone (626) 390-5200

Other practice location 1

481 Montgomery St Apt 1F
Brooklyn, NY 11225-3022
Phone (626) 390-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100061NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1104599216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MONTGOMERY ST APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253022",
            "telephone_number": "626-390-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W 21ST ST STE 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113200",
            "telephone_number": "626-390-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 Montgomery St Apt 1F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112253022",
            "country_code": "US",
            "telephone_number": "626-390-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GRACE",
        "middle_name": "MCCLEARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.