S KELLY KAY WYNN LCSW
NPI 1164977690
Social Worker - Clinical in Rockwall, TX

Active since August 25, 2016
3021 RIDGE RD, STE A19, ROCKWALL, TX 75032(310) 749-6568 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About S Kelly Kay Wynn Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S KELLY KAY WYNN LCSW (NPI 1164977690) is an individual clinical provider in Rockwall, Texas, licensed in Texas (62343) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1164977690
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameS KELLY KAY WYNNCredential: LCSW
Location Address3021 RIDGE RD, STE A19Rockwall, TX 75032-5806
Mailing Address3021 Ridge Rd, Ste A19Rockwall, TX 75032-5806 · (310) 749-6568
Sole ProprietorYes
Enumeration DateAugust 25, 2016
NPI 1164977690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in TX · 62343 Licensed in CA · 20640
Definition
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.
3021 RIDGE RD, Rockwall, TX 75032

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Technologist)
3021 RIDGE RD, SUITE A231
ROCKWALL, TX 75032
Pharmacy (Community/Retail Pharmacy)
3021 RIDGE RD, SUITE 103
ROCKWALL, TX 75032
Specialist/Technologist, Other (Surgical Assistant)
3021 RIDGE RD, SUITE A 231
ROCKWALL, TX 75032
Specialist/Technologist, Other
3021 RIDGE RD, SUITE A 231
ROCKWALL, TX 75032
Physician Assistant (Surgical)
3021 RIDGE RD, SUITE A231
ROCKWALL, TX 75032

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 S Kelly Wynn's NPI number?

The NPI number for S Kelly Wynn is 1164977690. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is S Kelly Wynn located?

S Kelly Wynn practices at 3021 Ridge Rd Ste A19, Rockwall, TX 75032. The listed phone number is (310) 749-6568.

What is S Kelly Wynn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for S Kelly Wynn was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.