Malik Anthony Wynter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12342-C Issued in NV

Practice address

5900 W Rochelle Ave
Las Vegas, NV 89103-3304

Phone

(725) 205-9233

NPI assigned

Jul 11, 2017

Sex

Male

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1386166478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8449 INDIGO SKY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292194",
            "telephone_number": "315-406-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W ROCHELLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033304",
            "telephone_number": "725-205-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 E Bonanza Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891102198",
            "country_code": "US",
            "telephone_number": "702-608-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNTER",
        "first_name": "MALIK",
        "middle_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12342-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sarah Wynn, PHD
• Kandyce Wynn
• Natalie Rae Wynn, APRN
• Richard Wynn
• Kadesha Wynter
• Donna Jane Wyrens
• Ernestine Wyrick
• Jimmar Wyrick
• Meghan Leigh Wyskiel, AU.D.
• Rachel Wyson, PA-C

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.