MEDICARE: MRS. BRACHA WINOGRAD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904017633	VA
2	1041C0700X	Clinical Social Worker	098368	NY
3	101YM0800X	Mental Health Counselor	111934	NY

General Provider Information

NPI Number	:	1689258840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRACHA WINOGRAD LCSW

Provider Business Mailing Address
First Line	:	10 MEREDITH AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-1308
Country	:	US
Telephone Number	:	585-738-6083
Fax Number	:

Provider Business Practice Location Address
First Line	:	3180 WEST ST
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1722
Country	:	US
Telephone Number	:	585-738-6083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	05/20/2026

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