Provider Demographics
NPI:1124616560
Name:KIRBY-STEINAU, GRACE MARIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:MARIE
Last Name:KIRBY-STEINAU
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:KIRBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:151 W BOYLSTON DR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2788
Mailing Address - Country:US
Mailing Address - Phone:508-793-8000
Mailing Address - Fax:508-754-9803
Practice Address - Street 1:151 W BOYLSTON DR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2788
Practice Address - Country:US
Practice Address - Phone:508-929-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1191451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical