Cheryl Wrynne, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106589 Issued in MA

Practice address

3 Daisy Dr
Walpole, MA 02081-1205

Phone

(508) 668-5809

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1780167114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DAISY DR",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811205",
            "telephone_number": "508-668-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DAISY DR",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811205",
            "telephone_number": "508-668-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRYNNE",
        "first_name": "CHERYL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106589",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua James Winters, MAC
• Patricia Wirth-Moody, PNP
• Carmela Vilar Wise, D.M.D.
• Monita Wong, DMD
• Lannie Wrightington
• Deborah Yarmush, DMD
• Nicole Yorra
• Meredith Young
• Yt Medical Supplies
• Betty Yu, PMHNP-BC, FNP-BC

• Clinical Social Worker in Walpole, MA
• Providers in Walpole, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.