Austin Blain Wyatt, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6271B Issued in AL

Practice address

118 E Choccolocco St
Oxford, AL 36203-1222

Phone

(256) 831-4601

NPI assigned

Sep 20, 2022

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

Electronic endpoints 1

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1629791256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 COUNTY ROAD 20",
            "city": "LEESBURG",
            "state": "AL",
            "postal_code": "359835126",
            "telephone_number": "256-706-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031222",
            "telephone_number": "256-831-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "AUSTIN",
        "middle_name": "BLAIN",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6271B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SAMMS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 E Choccolocco St",
            "city": "Oxford",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362031222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Dunlap Wilson, D.M.D.
• Katie J Winfrey, PA-C
• Eugenia Shaye Wingo, LMT
• Dennis E Wright, RPH
• Mary Elease Wright, LPC
• Yesyllewhite, DMD, LLC (Oxford Smiles)
• Deborah Yim, ADC
• Madison Runyan Young, PHARMD
• Bobbie Jean Zarouali, LPC

• Social Worker in Oxford, AL
• Providers in Oxford, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.