Healthcare Provider Details

I. General information

NPI: 1194792192
Provider Name (Legal Business Name): NANCY JEAN WINANS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY DELANEY WINANS

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 EPISCOPAL AVE
HONEOYE FALLS NY
14472-1001
US

IV. Provider business mailing address

1869 HEATH MARKHAM RD
LIMA NY
14485-9529
US

V. Phone/Fax

Practice location:
  • Phone: 585-624-1350
  • Fax: 585-624-9181
Mailing address:
  • Phone: 585-624-9253
  • Fax: 585-624-9181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR040055
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100416FK
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerPREFERRED CARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: