Provider Demographics
NPI:1528879202
Name:WINOGRADSKY, GRACE FUZHENG (LCSW)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:FUZHENG
Last Name:WINOGRADSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GRACIE
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:1619 COMMONWEALTH AVE APT 22
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-4232
Mailing Address - Country:US
Mailing Address - Phone:404-626-0194
Mailing Address - Fax:
Practice Address - Street 1:115 MILL ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1064
Practice Address - Country:US
Practice Address - Phone:404-626-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2308621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical