Active NPI
Jasmine Wynn, LCSW
- Clinical Social Worker
- Newark, DE
National Provider Identifier
1639588353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001441
- Practice address
- 256 Chapman Rd Ste 201
Newark, DE 19702-5415 - Phone
- (302) 292-1334
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 090156-1 | NY | |
| Social Worker | 104100000X | 090156-1 | NY | |
| Clinical Social Worker | 1041C0700X | Q1-0001441 | DE | Primary |
Addresses
Primary practice location
256 Chapman Rd Ste 201
Newark, DE 19702-5415
Mailing address
256 Chapman Rd Ste 201
Newark, DE 19702-5415
Phone (302) 292-1334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090156-1 | NY | MD | Social Worker |
| Q1-0001441 | DE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Child Development, Incorporated | Clinical | Current | Accepting new patients |
Locations
256 Chapman Rd
Ste 201
Newark, DE 19702
Phone 3022921334 ext. 710
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1639588353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CHAPMAN RD STE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025415",
"telephone_number": "302-292-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CHAPMAN RD STE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025415",
"telephone_number": "302-292-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "JASMINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "090156-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "090156-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.