Individual provider Active NPI

Nyree Wannall, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1083301386
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13427 Issued in MD
Practice address
1401 Rockville Pike
Rockville, MD 20852-1428
Phone
(301) 335-2812
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13427 MD Primary

Addresses

Primary practice location

1401 Rockville Pike
Rockville, MD 20852-1428

Mailing address

10012 Reddick Dr
Silver Spring, MD 20901-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703004198 DC Practitioner - Clinical Social Worker 5395259147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13427MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government CurrentSince Apr 26, 2025 Accepting new patients
Montgomery County Maryland Government CurrentSince Apr 26, 2025 Accepting new patients
Montgomery County Maryland Government Current Accepting new patients

Locations

1301 Piccard Dr
Fl 1
Rockville, MD 20850
Phone (240) 777-1360

1401 Rockville Pike
Rockville, MD 20852
Phone (240) 733-1211

401 Hungerford Dr
Fl 6
Rockville, MD 20850

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

Interoperability endpoints

  • Direct secure messaging: nyree.wannall.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1083301386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 REDDICK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521428",
            "telephone_number": "301-335-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNALL",
        "first_name": "NYREE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.