Individual provider · Type 1 NPI

S Kelly Kay Wynn, LCSW

Clinical Social Worker · Rockwall, TX

NPI number 1164977690 Active

Practice location

3021 Ridge Rd, Ste A19
Rockwall, TX 75032-5806

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X62343 (TX)
Clinical Social Worker 1041C0700X20640 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1164977690

S Kelly Kay Wynn, LCSW's National Provider Identifier is 1164977690, issued on Aug 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockwall, TX. The record was last updated on Aug 25, 2016.