AMY B WYNN (NPI# 1124677760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124677760 |
| Entity Type | Individual |
| Full Name | AMY B WYNN |
| Credential | LCSW |
| Practice Address |
1118 Sam Newell Rd Matthews NC 28105-5041 |
| Mailing Address |
1118 Sam Newell Rd Ste D2 Matthews NC 28105-5162 |
| Practice Telephone | 9802884098 |
| Mailing Telephone | 9802884098 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C013038 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073823530 | Amy M Wynn | Nurse Practitioner | 2420 Linwood Drive Suite 3, Paragould, AR 72450 | 2010-10-18 |
| 1700359080 | Amy Michelle Wynn | Nurse Practitioner | 410 S Chestnut St, Seymour, IN 47274 | 2019-01-09 |
| 1841541125 | Amy Elizabeth Wynn | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2506 | 2012-09-26 |
| 1689985152 | Amy L Wynn | Nurse Practitioner | 1103 15th Ave Se, Decatur, AL 35601-3345 | 2010-06-29 |
| 1619290301 | Amy Marie Wynn | Obstetrics & Gynecology | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2010-03-09 |
| 1720133846 | Amy R Wynn | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2007-01-25 |
| Street Address |
1118 SAM NEWELL RD |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798640 | Eagle Eye Counseling & Consulting, Pllc | Counselor | 1118 Sam Newell Rd, Matthews, NC 28105-5041 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795499 | Laura Rebecca Carson | Social Worker | 2306 Cross Point Cir Apt 32, Matthews, NC 28105-8359 | 2018-03-27 |
| 1467965160 | Elyssa Anne Gorelick | Social Worker | 1126 Sam Newell Rd Ste C&d, Matthews, NC 28105-5083 | 2017-11-16 |
| 1093234049 | Luanne Brigman Imholt | Social Worker | 1249 Ashley Creek Dr, Matthews, NC 28105-2442 | 2017-09-11 |
| 1972023182 | Glenise Parrott | Social Worker | 1122 Sam Newell Rd Ste 106, Matthews, NC 28105-5016 | 2017-06-20 |
| 1093252405 | Priscille Elusme | Social Worker | 8021 Woodway Oak Cir Apt 231, Matthews, NC 28105-9405 | 2017-01-23 |
| 1659815488 | Lynn Kreiling | Social Worker | 1080 Monroe Rd Ste A, Matthews, NC 28105-8336 | 2016-12-13 |
| 1407209661 | Joann M Abdo | Social Worker | 1118 Sam Newell Rd Ste D2, Matthews, NC 28105-5041 | 2016-07-22 |
| 1861843880 | Julie Dick | Social Worker | 1232 Lightwood Dr, Matthews, NC 28105-3881 | 2016-06-30 |
| 1508228107 | Monica Catrice Williams | Social Worker | 2412 Nettleton Ct, Matthews, NC 28105-3216 | 2016-03-23 |
| 1366818361 | Colleen Marie Cash | Social Worker | 1720 Candlewood Ridge Ln, Matthews, NC 28105-3210 | 2015-08-13 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.