Jennifer C Grace, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080202 Issued in DC

Practice address

11941 Bournefield Way
Silver Spring, MD 20904-7821

Phone

(877) 552-6672

Fax

(224) 306-1878

NPI assigned

May 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1861802654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W ST NW APT 507",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074028",
            "telephone_number": "202-412-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 BOURNEFIELD WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047821",
            "telephone_number": "877-552-6672",
            "fax_number": "224-306-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashok Laxman Gowda, M.D.
• Elise Gower, LMSW
• Kavita Goyal, M.D.
• Sylvie K Goyou
• Grace Mental Wellness LLC
• Kathy A Grace, AU.D.
• Graceful Hand Home Healthcare
• Gracie Care LC
• Emily Graef
• Ciara Michelle Graf, PHARMD

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.