Genny Lynn Wrocklage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69531 Issued in CA

Practice address

730 W Grand Ave Unit 3402
Escondido, CA 92025-2582

Phone

(619) 325-9109

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1962162032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W GRAND AVE UNIT 3402",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252582",
            "telephone_number": "619-325-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W GRAND AVE UNIT 3402",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252582",
            "telephone_number": "619-325-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROCKLAGE",
        "first_name": "GENNY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Deferred/pending",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Deferred/pending",
            "address_1": "730 W Grand Ave Unit 3402",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920252582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jadyn Wray
• Jenifer Irene Wright-Ellsworth
• Andrew Wright
• Laticia Wright
• Ilmira Wrinkle, RDHAP
• Darrell Wu, M.D.
• Elizabeth A. Wulfert, M.D.
• Daniel Wyher
• Wyndhamsmith and Kim D.D.S. Inc.
• Xenrex Investments, Inc. (Safe Harbor Elder Care)

• Clinical Social Worker in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.