Individual provider Active NPI

Alison Wynn, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1902139611
Registry record updated Sep 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37679 Issued in TX
Practice address
303 Harrison Ave
San Antonio, TX 78209-5126
Phone
(210) 826-7325
NPI assigned
Sep 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 37679 TX Primary

Addresses

Primary practice location

303 Harrison Ave
San Antonio, TX 78209-5126

Mailing address

303 Harrison Ave
San Antonio, TX 78209-5126
Phone (210) 826-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140716000317 TX Practitioner - Clinical Social Worker 1355566928 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling San Antonio and Wellness Center, LLCGroup PAC ID 3678850955, 3 clinicians

Practice addresses (Care Compare)

7272 Wurzbach Rd
Ste. 203
San Antonio, TX 78240-4802
Phone (210) 980-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37679TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling San Antonio and Wellness Center, LLC Clinical CurrentSince Mar 10, 2017 Accepting new patients
Vcounselors PLLC PastSince May 16, 2022 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 203
San Antonio, TX 78240
Phone (210) 863-2124

Organizations & group practices 2

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": "1252800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252800000000",
    "number": "1902139611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HARRISON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095126",
            "telephone_number": "210-826-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HARRISON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095126",
            "telephone_number": "210-826-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ALISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-13",
        "last_updated": "2009-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.