NPIMap

Organization Active NPI

D.a. Wynne & Associates,Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Rockville, MD
National Provider Identifier
1467920918
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
D.A. WYNNE & ASSOCIATES,INC.
Practice address
11900 Parklawn Dr Ste 120
Rockville, MD 20852-2668
Phone
(301) 468-5663
NPI assigned
Nov 2, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Elizabeth C Krueger, LCSW-CNPI 1700363223
Title
Clinical Director
Phone
(301) 439-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

11900 Parklawn Dr Ste 120
Rockville, MD 20852-2668

Mailing address

10230 New Hampshire Ave Ste 206
Silver Spring, MD 20903-1423
Phone (301) 439-6700

National Provider Directory

National Provider Directory
Tax ID family
Da Wynne Associatesinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11900 Parklawn Dr
Ste 120
Rockville, MD 20852
Phone (301) 468-5663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1467920918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE STE 206",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031423",
            "telephone_number": "301-439-6700",
            "fax_number": "301-439-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 PARKLAWN DR STE 120",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522668",
            "telephone_number": "301-468-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.A. WYNNE & ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-439-6700",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.