Individual provider Active NPI

Lynn Snipes Wogamon, L.P.E.S

  • School Psychologist
  • Summerville, SC
National Provider Identifier
1649586025
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4583 Issued in SC
Practice address
1400 Old Trolley Rd
Summerville, SC 29485-5210
Phone
(843) 532-4923
Fax
(843) 962-5508
NPI assigned
Aug 24, 2010
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4583 SC Primary

Addresses

Primary practice location

1400 Old Trolley Rd
Summerville, SC 29485-5210

Mailing address

6859 Hyde Farm Rd
Ravenel, SC 29470-5372
Phone (843) 532-4923

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Evaluations, LLC School CurrentSince Apr 28, 2024 Accepting new patients

Locations

1400 Old Trolley Rd
Summerville, SC 29485
Phone (843) 532-4923

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1649586025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 HYDE FARM RD",
            "city": "RAVENEL",
            "state": "SC",
            "postal_code": "294705372",
            "telephone_number": "843-532-4923",
            "fax_number": "843-962-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855210",
            "telephone_number": "843-532-4923",
            "fax_number": "843-962-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGAMON",
        "first_name": "LYNN",
        "middle_name": "SNIPES",
        "name_prefix": "Dr.",
        "credential": "L.P.E.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.