Andrea Wynkoop, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008273 Issued in GA

Practice address

601 N Belair SQ Ste 3
Evans, GA 30809-4322

Phone

(706) 833-0780

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Augusta Counseling Professionals LLC

  • Professional Counselor
  • Augusta, GA
  • NPI 1790146900
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1215540588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 WESTLAWN DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132017",
            "telephone_number": "716-359-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ STE 3",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094322",
            "telephone_number": "706-833-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "876 Westlawn Dr",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308132017",
            "country_code": "US",
            "telephone_number": "716-359-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNKOOP",
        "first_name": "ANDREA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "augcounseling.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Augusta Counseling Professionals LLC",
            "address_1": "601 N Belair Sq Ste 3",
            "city": "Evans",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308094322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Women'S Massage Center
• Women'S Physical Therapy of Evans,Inc.
• Sally Edwards Wood, RN, IBCLC
• Danielle Elise Wortham, P.T.
• William Curtis Wright, DMD
• Ellis Lamar Wynn IV, CRNA
• X Factor EMS
• Hemant K. Yagnick, MD
• Yay God Boo Devil LLC
• Ashlee Nicole Crouse Young, MS, LCPC, LPC

• Clinical Social Worker in Evans, GA
• Providers in Evans, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.