RUSSELL REESE WYNN LISW
NPI 1891993440
Social Worker - Clinical in Albuquerque, NM

Active since July 05, 2007
7007 WYOMING BLVD NE, SUITE E-3, ALBUQUERQUE, NM 87109(505) 884-0112(505) 828-1385 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Reese Wynn Lisw NPPES

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

RUSSELL REESE WYNN LISW (NPI 1891993440) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (I-06600) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1891993440
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRUSSELL REESE WYNNCredential: LISW
Location Address7007 WYOMING BLVD NE, SUITE E-3Albuquerque, NM 87109-3987
Mailing Address7007 Wyoming Blvd Ne, Suite E-3Albuquerque, NM 87109-3987 · (505) 884-0112 · Fax (505) 828-1385
Fax(505) 828-1385
Sole ProprietorNo
Enumeration DateJuly 5, 2007
Last NPPES UpdateOctober 24, 2007
NPI 1891993440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · I-06600
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.
7007 WYOMING BLVD NE, Albuquerque, NM 87109

Other Providers at the Same Location NPPES 17

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

Dentist (General Practice)
7007 WYOMING BLVD NE, SUITE B2
ALBUQUERQUE, NM 87109
Optometrist
7007 WYOMING BLVD NE, C1
ALBUQUERQUE, NM 87109
Dentist
7007 WYOMING BLVD NE, STE B-2
ALBUQUERQUE, NM 87109
Chiropractor
7007 WYOMING BLVD NE, STE A3
ALBUQUERQUE, NM 87109
Dentist (Pediatric Dentistry)
7007 WYOMING BLVD NE, SUITE C-2
ALBUQUERQUE, NM 87109
Dentist (General Practice)
7007 WYOMING BLVD NE, A4
ALBUQUERQUE, NM 87109
Dentist
7007 WYOMING BLVD NE, STE A4
ALBUQUERQUE, NM 87109
Clinic/Center (Dental)
7007 WYOMING BLVD NE, SUITE B-2
ALBUQUERQUE, NM 87109

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 Russell Wynn's NPI number?

The NPI number for Russell Wynn is 1891993440. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Russell Wynn located?

Russell Wynn practices at 7007 Wyoming Blvd NE Suite E-3, Albuquerque, NM 87109. The listed phone number is (505) 884-0112.

What is Russell 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 Russell Wynn was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.