MS. ALYSSA WYNN LCSW
NPI 1952556185
Social Worker in New York, NY

Q: What is Alyssa Wynn's NPI number?

The NPI number for Alyssa Wynn is 1952556185. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Q: What is Alyssa Wynn's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Wynn was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 02, 2008PECOS Enrolled

4781 BROADWAY, NEW YORK, NY 10034(212) 304-6927(212) 304-6925 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Alyssa Wynn Lcsw NPPES

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

MS. ALYSSA WYNN LCSW (NPI 1952556185) is an individual social worker in New York, New York, licensed in New York (071068) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952556185

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. ALYSSA WYNNCredential: LCSW

Location Address4781 BROADWAYNew York, NY 10034-4915

Mailing Address4781 BroadwayNew York, NY 10034-4915 · (212) 304-6927 · Fax (212) 304-6925

Phone(212) 304-6927

Fax(212) 304-6925

Sole ProprietorYes

Enumeration DateDecember 2, 2008

Last NPPES UpdateMay 28, 2014

✔ NPI 1952556185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 071068

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4781 BROADWAY, New York, NY 10034

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alyssa Wynn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

DR. KELLY A SMITH MD

Internal Medicine