Individual provider Active NPI

Manda Michelle Winseman

  • Social Worker
  • Lima, NY
National Provider Identifier
1407523020
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
064212 Issued in NY
Practice address
7803 E Main St
Lima, NY 14485-9774
Phone
(585) 415-1280
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 064212 NY Primary

Addresses

Primary practice location

7803 E Main St
Lima, NY 14485-9774

Mailing address

7803 E Main St
Lima, NY 14485-9774
Phone (585) 415-1280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwinseman@rudoymedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811002565 NY Practitioner - Clinical Social Worker 3476051244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Psychiatric Services PCGroup PAC ID 2365789674, 26 clinicians

Practice addresses (Care Compare)

26 Court St
Suite 1510
Brooklyn, NY 11242-0103
Phone (718) 522-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
064212NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Psychiatric Services PC CurrentSince Jul 1, 2025 Accepting new patients
Manda Winseman LCSW PLLC CurrentSince Jun 15, 2025 Accepting new patients
Rudoy Medical PC Past Accepting new patients
East Point Medical PC Past Accepting new patients

Locations

26 Court St
Ste 1510
Brooklyn, NY 11242
Phone (718) 522-3600

26 Court St
Ste 808
Brooklyn, NY 11242
Phone (718) 307-1577

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1407523020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 E MAIN ST",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859774",
            "telephone_number": "585-415-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 E MAIN ST",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859774",
            "telephone_number": "585-415-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSEMAN",
        "first_name": "MANDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwinseman@rudoymedical.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7803 E Main St",
            "city": "Lima",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144859774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, NY

Sources for this page

Verify at the official NPI Registry.