Individual provider · Type 1 NPI
S Kelly Kay Wynn, LCSW
Clinical Social Worker · Rockwall, TX
Practice location
3021 Ridge Rd, Ste A19
Rockwall, TX 75032-5806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 62343 (TX) |
| Clinical Social Worker | 1041C0700X | 20640 (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.