Organization Active NPI

Graceful Therapy, LCSW, PLLC

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1104716877
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRACEFUL THERAPY, LCSW, PLLC
Practice address
418 Broadway # 6805
Albany, NY 12207-2922
Phone
(347) 450-1264
NPI assigned
Jul 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Authorized official

Name
Gibsy Lino, LCSWNPI 1487544151
Title
Owner / Clinical Director
Phone
(347) 450-1264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

418 Broadway # 6805
Albany, NY 12207-2922

Mailing address

418 Broadway # 6805
Albany, NY 12207-2922

National Provider Directory

National Provider Directory

Locations

418 Broadway
#6805
Albany, NY 12207
Phone (347) 450-1264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751673600000",
    "number": "1104716877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 6805",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 6805",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "347-450-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL THERAPY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-05",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A",
        "authorized_official_last_name": "LINO",
        "authorized_official_first_name": "GIBSY",
        "authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "347-450-1264",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; 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.