Wynne Diane Alexander, MSW
Individual provider Active NPI Clinical Social Worker · Inglewood, CA
NPI 1629275334 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1629275334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 25950 (CA)
- Practice address
- 111 N la Brea Ave
Suite 700
Inglewood, CA 90301-1752 - Phone
- (310) 677-7808
- Fax
- (310) 846-2139
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141118001786 | CA | Practitioner - Clinical Social Worker | 8426005448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Individual & Family Counseling Inc | Current |
Accepting new patients |
Locations
2716 S Vermont Ave
Ste 9
Los Angeles, CA 90007
Phone (323) 810-9233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25950 | CA | Yes |
Addresses
Primary practice location
111 N la Brea Ave
Suite 700
Inglewood, CA 90301-1752
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612
Other providers in Inglewood, CA
- Alchemy Family Counseling Services, Inc
- Joanna P Alcocer
- Alexander Orthopedic Lab
- Alexander Prosthetics & Orthotics, Inc
- Amani Breanna Alexander
- Saira Miriam Ali
- All About Loving Care Inc
- All Counties Transport
- All Families Matter Incorporated
- All Home Mobile Services Inc.
All providers in Inglewood, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.