Provider Demographics
NPI:1902187651
Name:LIU, GRACE Y (LCSW)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:Y
Last Name:LIU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 MAISON WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94803-3570
Mailing Address - Country:US
Mailing Address - Phone:510-845-5626
Mailing Address - Fax:
Practice Address - Street 1:1001 GOLDEN RAIN RD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-2412
Practice Address - Country:US
Practice Address - Phone:925-988-7751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA958341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical