Sandra Wynn Wyndham

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY 1967 Issued in KY

Practice address

2105 Crums LN
Louisville, KY 40216-4231

Phone

(502) 589-8950

Fax

(502) 449-3690

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Clinical

  NPD

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1356742787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164231",
            "telephone_number": "502-589-8950",
            "fax_number": "502-449-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164231",
            "telephone_number": "502-589-8950",
            "fax_number": "502-449-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNDHAM",
        "first_name": "SANDRA",
        "middle_name": "WYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY 1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Wyche, LCSW
• Wygal & Newman LLC
• Janet Wygal, M.D.
• Jason Wylie, PTA
• Scott A. Wylie, PH.D.
• Jessica Anne Wynkoop
• Michael Wynn, MS, CCP
• X-Gene Molecular Laboratories, Inc
• X-Ray Associates of Louisville PSC
• Xenon Anesthesia of Kentucky PLLC

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.