Grace Dickman, LMSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019508 Issued in IL

Practice address

154 Clifton PL # 1
Brooklyn, NY 11238-1409

Phone

(216) 288-2342

NPI assigned

Nov 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Olivia Dickman, LCSW PLLC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1801592886
  NPD Authorized official
• Amani Nia Therapeutic Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1215552708
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1164935532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CLIFTON PL # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381409",
            "telephone_number": "216-288-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CLIFTON PL # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381409",
            "telephone_number": "216-288-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Harrison Ave # 1009",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105283607",
            "country_code": "US",
            "telephone_number": "203-674-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Main St Apt 5",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068514650",
            "country_code": "US",
            "telephone_number": "203-674-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Dean St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112163004",
            "country_code": "US",
            "telephone_number": "216-288-2342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "GRACE",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108168",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prunella Cynthia Dickerson
• Wesley J Dickerson, M.D.
• Thomas Jay Dickert, D.C.
• Nitasha Rae Dickes, BCBA, PLMHP
• Eitan Dickman, M.D.
• Ian Vebert Malvar Dickman
• John Andrew Dickman, LMSW
• Gwendolyn Dickson, LCSW
• Idongesit Dickson, OTR/L
• Leslie Augustus Dickson, LPN

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.