Provider Demographics
NPI:1992690549
Name:MANDA WINSEMAN LCSW PLLC
Entity type:Organization
Organization Name:MANDA WINSEMAN LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WINSEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:585-415-8395
Mailing Address - Street 1:7803 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-9774
Mailing Address - Country:US
Mailing Address - Phone:585-415-8395
Mailing Address - Fax:
Practice Address - Street 1:7803 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:NY
Practice Address - Zip Code:14485-9774
Practice Address - Country:US
Practice Address - Phone:585-415-8395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health