S KELLY KAY WYNN (NPI# 1164977690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164977690 |
| Entity Type | Individual |
| Full Name | S KELLY KAY WYNN |
| Credential | LCSW |
| Practice Address |
3021 Ridge Rd Ste A19 Rockwall TX 75032-5806 |
| Practice Telephone | 3107496568 |
| Mailing Telephone | 3107496568 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
20640 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
62343 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3021 RIDGE RD STE A19 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154384402 | Cody Lynn Day | Specialist/Technologist, Other | 3021 Ridge Rd, Suite A231, Rockwall, TX 75032-5806 | 2006-04-08 |
| 1528432077 | Texas First Assist, LLC. | Specialist/Technologist, Other | 3021 Ridge Rd, Suite A 231, Rockwall, TX 75032-5806 | 2015-11-20 |
| 1902135072 | Surgical Assistance of Texas, LLC. | Physician Assistant | 3021 Ridge Rd, Suite A231, Rockwall, TX 75032-5806 | 2009-12-18 |
| 1891947057 | Surgical Assistance of Greater Dallas, LLC. | Specialist/Technologist, Other | 3021 Ridge Rd, Suite A 231, Rockwall, TX 75032-5806 | 2008-10-21 |
| 1467596817 | Super Rockwall Drugstore,lp | Pharmacy | 3021 Ridge Rd, Suite 103, Rockwall, TX 75032-5806 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| 1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
| Find all providers in zip 75032 | ||||
| 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 |
|---|---|---|---|---|
| 1457990582 | Amber Wilson | Social Worker | 925 N Goliad St, Rockwall, TX 75087-2230 | 2020-01-06 |
| 1558880229 | Jana Lynn Creech | Social Worker | 935 W Ralph Hall Pkwy Ste 105, Rockwall, TX 75032-8707 | 2017-09-14 |
| 1992221923 | Makayla Ann Hix | Social Worker | 5942 S Fm 549, Rockwall, TX 75032-6044 | 2017-08-22 |
| 1245502244 | Lori Adams Wilkerson | Social Worker | 2190 Lake Forest Dr, Rockwall, TX 75087-3343 | 2012-02-06 |
| 1720292790 | Patricia Linn Brown | Social Worker | 2650 Argyle Shore Dr, Rockwall, TX 75087-7119 | 2007-05-09 |
| 1346454378 | Shannon Leanne Toth-rohde | Social Worker | 1411 Scarboro Hills Ln, Rockwall, TX 75087-2429 | 2007-05-09 |
| 1790895704 | Sandra Jean Shields | Social Worker | 775 Justin Rd, Rockwall, TX 75087 | 2006-08-30 |
| 1295353662 | Jessica Groth | Social Worker | 500 Turtle Cove Blvd Ste 101, Rockwall, TX 75087-5300 | 2020-07-11 |
| 1184190704 | Mend Counseling and Therapeutic Services | Social Worker | 601 White Hills Dr Ste 400, Rockwall, TX 75087-5516 | 2018-10-22 |
| 1891247383 | Alyce Messer | Social Worker | 500 Turtle Cove Blvd Ste 101, Rockwall, TX 75087-5300 | 2016-10-31 |
| Find all providers in ROCKWALL | ||||
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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.