Roxanne Wyckoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13321 Issued in TX

Practice address

203 S College St
Suite 203
Waxahachie, TX 75165-3731

Phone

(972) 845-2535

Fax

(972) 845-2467

NPI assigned

Mar 18, 2007

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

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598889446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SOUTHWICK",
            "city": "PALMER",
            "state": "TX",
            "postal_code": "751529587",
            "telephone_number": "972-845-2535",
            "fax_number": "972-845-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S COLLEGE ST",
            "address_2": "SUITE 203",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653731",
            "telephone_number": "972-845-2535",
            "fax_number": "972-845-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKOFF",
        "first_name": "ROXANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "13321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Paul Word
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• Deryl Wright, CRNA
• Fonny Cooper Wright, LPC
• Jamie Wright, FNP-C
• Brenda L Wyrick, NURSE PRACTIONER-FAM
• Craig S Yetter, DO
• Chak Lam Yeung, DO
• Clarence Young III
• Dimple Yu, DMD

• Clinical Social Worker in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.