Jason Lee Paul Wayrynen, BS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

79884 Issued in CA

Practice address

1219 N Carpenter Rd Ste 12
Modesto, CA 95351

Phone

(209) 569-0713

NPI assigned

Apr 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1124345616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N CARPENTER RD STE 12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511215",
            "telephone_number": "605-360-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N CARPENTER RD STE 12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95351",
            "telephone_number": "209-569-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Cummins Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953586400",
            "country_code": "US",
            "telephone_number": "209-576-1750",
            "fax_number": "209-576-1768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYRYNEN",
        "first_name": "JASON",
        "middle_name": "LEE PAUL",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Watts
• Krysstopher Wawrick
• Ashley Way
• Wayne T. Yee, DDS, Inc.
• Genifer Lynn Wayrynen
• Susan C Ways, PHD MD
• Ronald Gene Weakley, MD
• Amanda Kay Wearin, ASW
• Brian Weatherbee, MSPT
• Rheba Weatherford

• Clinical Social Worker in Modesto, CA
• Providers in Modesto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.