Individual provider · Type 1 NPI

Elisha Wynn, LCSW

Clinical Social Worker · Austin, TX

NPI number 1598439747 Active

Practice location

919 E 32nd St
Austin, TX 78705-2703

Call (512) 544-7111 Map

Mailing address

55 Fruit St
Boston, MA 02114-2621

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X107807 (TX)
Clinical Social Worker Primary 1041C0700X000224685 (MA)

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 1598439747

Elisha Wynn, LCSW's National Provider Identifier is 1598439747, issued on Aug 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Austin, TX. The record was last updated on Mar 26, 2025.