Individual provider · Type 1 NPI

Shakeera Wynne

Clinical Social Worker · Philadelphia, PA

NPI number 1629568894 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (215) 456-5764 Map

Fax (215) 456-5765

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW026813 (PA)

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 1629568894

Shakeera Wynne's National Provider Identifier is 1629568894, issued on May 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 26, 2025.