WINGSPAN COUNSELING LCSW PLLC
NPI 1013691344
Social Worker in Rochester, NY
About Wingspan Counseling Lcsw Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINGSPAN COUNSELING LCSW PLLC (NPI 1013691344) is a healthcare organization registered as a social worker in Rochester, New York and active in the NPI registry since June 2023. The organization lists Sharon Dawn Mattsson, Original Member/manager/ Lcsw, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wingspan Counseling Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wingspan Counseling Lcsw PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wingspan Counseling Lcsw PLLC's NPI number?
The NPI number for Wingspan Counseling Lcsw PLLC is 1013691344. It was assigned to this organization in the NPPES registry on June 15, 2023.
Where is Wingspan Counseling Lcsw PLLC located?
Wingspan Counseling Lcsw PLLC is located at 95 Allens Creek Rd Ste 9, Rochester, NY 14618. The listed phone number is (585) 568-7864.
What is Wingspan Counseling Lcsw PLLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Wingspan Counseling Lcsw PLLC enrolled in Medicare?
Yes. Wingspan Counseling Lcsw PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wingspan Counseling Lcsw PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wingspan Counseling Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wingspan Counseling Lcsw PLLC was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wingspan Counseling Lcsw Pllc · NPI 1013691344
Social Worker organization in Rochester, New York. Organization record, active in the CMS NPPES registry since June 15, 2023.
## Identity
- **NPI:** 1013691344 (Entity type: Organization)
- **Enumerated:** June 15, 2023
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** Sharon Mattsson, ORIGINAL MEMBER/MANAGER/ LCSW
## Practice location
- **Address:** 95 ALLENS CREEK RD STE 9, Rochester, NY 14618-3252
- **Phone:** (585) 568-7864 · **Fax:** (855) 523-1669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013691344) · Data from the CMS NPPES public registry.