Provider Demographics
NPI:1194792192
Name:WINANS, NANCY JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEAN
Last Name:WINANS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:DELANEY
Other - Last Name:WINANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1869 HEATH MARKHAM RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-9529
Mailing Address - Country:US
Mailing Address - Phone:585-624-9253
Mailing Address - Fax:585-624-9181
Practice Address - Street 1:3 EPISCOPAL AVE
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1001
Practice Address - Country:US
Practice Address - Phone:585-624-1350
Practice Address - Fax:585-624-9181
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0400551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100416FKOtherPREFERRED CARE
NY100416FKOtherPREFERRED CARE