Active NPI
Lucinda Hundt Wynn, MSW
- Clinical Social Worker
- Glen Oaks, NY
National Provider Identifier
1982877627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R048995-1
- Practice address
- 75-59 263 Street
The Zucker Hillside Hospital
Glen Oaks, NY 11004 - Phone
- (718) 470-8122
- Fax
- (718) 343-0441
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R048995-1 | NY | Primary |
Addresses
Primary practice location
75-59 263 Street
The Zucker Hillside Hospital
Glen Oaks, NY 11004
Mailing address
75-59 263 Street
The Zucker Hillside Hospital
Glen Oaks, NY 11004
Phone (718) 470-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5701474 | Other | NY | EDUCATION DEPT REG CERT # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048995-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1982877627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-59 263 STREET",
"address_2": "THE ZUCKER HILLSIDE HOSPITAL",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-470-8122",
"fax_number": "718-343-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-59 263 STREET",
"address_2": "THE ZUCKER HILLSIDE HOSPITAL",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-470-8122",
"fax_number": "718-343-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "LUCINDA",
"middle_name": "HUNDT",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R048995-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATION DEPT REG CERT #",
"identifier": "5701474",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.