Mindy Sue Wooledge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1194540 Issued in NY

Practice address

227 W Dominick St
Rome, NY 13440-5859

Phone

(315) 336-6230

Fax

(315) 337-9262

NPI assigned

Nov 3, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mindy Possemato Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpossemato@hiemail.healtheconnections.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upstate Cerebral Palsy, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1780636506
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1124570452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405859",
            "telephone_number": "315-336-6230",
            "fax_number": "315-337-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405859",
            "telephone_number": "315-336-6230",
            "fax_number": "315-337-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLEDGE",
        "first_name": "MINDY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "1194540",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpossemato@hiemail.healtheconnections.org",
            "affiliation": "Y",
            "endpointDescription": "direct mail",
            "affiliationName": "NYS Office of Mental Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "227 W Dominick St",
            "city": "Rome",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134405859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "POSSEMATO",
            "credential": "LCSW,  LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Wohlfert, PT, DPT
• Colleen M Wojcik, NP
• Lisa Wolcott, LCSW
• William Asher Wolf, MD
• Tina Woodcock, NURSE
• Gertrude Worden, FNP
• Mary M Wyborski-Waters, R.N.
• Jennifer Lee Yanik, M.S., ED., CCC-SLP
• Zachery Yates
• Nicole Yi, M.D.

• Clinical Social Worker in Rome, NY
• Providers in Rome, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.