Jean M Wynne, LCSW
Social Worker, Clinical in Riverside, Connecticut
1225589914- Practice location
- 16 Apache Pl, Riverside, CT 06878-1328
- Phone
- 203-645-3814
- Fax
- —
- Last updated
- April 17, 2023
Jean M. Wynne is a Social Worker, Clinical based in Riverside, CT. Jean M. Wynne practices in Riverside, CT and has the professional credentials of LCSW. The NPI Number for Jean M. Wynne is 1225589914 and holds a License No. 084819-1 (NY). The current practice location address for Jean M. Wynne is 16 Apache Pl, Riverside, CT 06878-1328 and can be reached out via phone at 203-645-3814.
Provider Profile Details
- NPI Number
- 1225589914
- Provider Name
- Jean M. Wynne
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Apache Pl, Riverside, CT 06878-1328
- Phone Number
- 203-645-3814
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 18, 2016
- Last Update Date
- April 17, 2023
- Certification Date
- April 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Apache Pl
Riverside, CT 06878-1328 - City
- Riverside
- State
- Connecticut
- Zip
- 06878-1328
- Phone Number
- 203-645-3814
Provider Business Mailing Address Details
- Address
- 16 Apache Pl
Riverside, CT 06878-1328 - City
- Riverside
- State
- CT
- Zip
- 06878-1328
- Phone Number
- 203-645-3814
License Information
- License Number (1)
- 084819-1
- License State (1)
- NY
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- 010881
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Riverside, CT
View all Social Worker, Clinical providers in Riverside →Frequently Asked Questions
What is the NPI number of Jean M Wynne, LCSW?
The NPI number of Jean M Wynne, LCSW is 1225589914. It was assigned on October 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Jean M Wynne, LCSW?
Jean M Wynne, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 084819-1.
Where does Jean M Wynne, LCSW practice?
The practice location is 16 Apache Pl, Riverside, CT 06878-1328. The office can be reached at 203-645-3814 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225589914 directly on the NPPES registry website.