Julie Wynn, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW19285 Issued in FL

Practice address

4776 New Broad St Ste 201
Orlando, FL 32814-6423

Phone

(407) 871-9490

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1316629132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 GEORGIA PEACH DR APT 20107",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927816",
            "telephone_number": "850-264-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 NEW BROAD ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146423",
            "telephone_number": "407-871-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "JULIE",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW19285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Godwin Dewayne Wyche II
• Marc A Wyckoff
• Brittany Wycoff, P.T., D.P.T
• Christina Wyer, APRN
• Jerrica Maria Wynn
• Robert Eugean Wynn Jr., FNP
• Sydney Paige Wynn
• Charles H. Wyre, LMFT
• Ann Marie Wysong, MA, LMHC
• X-Celerated Permits, Inc.

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.