Destiny Wineland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6944-C Issued in AR

Practice address

2420 Linwood Dr Ste 1&2
Paragould, AR 72450-6122

Phone

(870) 236-5880

Fax

(870) 236-5757

NPI assigned

Nov 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Destiny Wray Other name

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nextstep Counseling Services LLCGroup PAC ID 3577951581, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nextstep Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paragould, AR
  • NPI 1801488317
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Jonesboro, AR
  • NPI 1306613880
  NPD (past)
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD (past)

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1770860223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE G",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "866-972-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LINWOOD DR STE 1&2",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506122",
            "telephone_number": "870-236-5880",
            "fax_number": "870-236-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Linwood Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724505365",
            "country_code": "US",
            "telephone_number": "870-604-4455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1707 Linwood Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724505365",
            "country_code": "US",
            "telephone_number": "870-604-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINELAND",
        "first_name": "DESTINY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6944-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228492719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "WRAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phillip Wilson
• Ruth Wilson
• Sarah Joy Wilson
• Tabatha Jean Wilson, MHPP
• Hayden Winberry
• Amber Winford, APN
• Angela Nicole Winn, MHPP
• Carissa J Winn, ED.S, LAC
• Jamie Suzette Winn
• Melanie Wise, BS

• Clinical Social Worker in Paragould, AR
• Providers in Paragould, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.