Individual provider Active NPI

Wyshanta Pompey, MS; MSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1639703002
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23090 Issued in FL
Practice address
1290 Cedar Center Dr
Tallahassee, FL 32301-4876
Phone
(850) 583-8477
NPI assigned
Feb 25, 2020
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW23090 FL Primary

Addresses

Primary practice location

1290 Cedar Center Dr
Tallahassee, FL 32301-4876

Mailing address

415 N Charles Willis Dr
Midway, FL 32343-4296
Phone (850) 264-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122002852 FL Practitioner - Clinical Social Worker 5496232225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Alabaster CV
Sanford, FL 32771-3607

415 N Charles Willis Dr
Midway, FL 32343-4296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23090FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gap Connections Inc Clinical CurrentSince Sep 25, 2025 Accepting new patients

Locations

1290 Cedar Center Dr
Tallahassee, FL 32301
Phone (850) 583-8477

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1639703002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CHARLES WILLIS DR",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323434296",
            "telephone_number": "850-264-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 CEDAR CENTER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014876",
            "telephone_number": "850-583-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPEY",
        "first_name": "WYSHANTA",
        "credential": "MS; MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.