Kyle Wyman, LCSW is a
Social Worker - Clinical based in Philadelphia, Pennsylvania. Kyle Wyman is licensed to practice in Pennsylvania (license number CW022109) and his current practice location is
3900 Woodland Ave, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 594-1445.
NPI number for Kyle Wyman is 1265912299 and his current mailing address is 3900 Woodland Ave, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265912299.
Healthcare Provider's Profile
Full Name | Kyle Wyman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3900 Woodland Ave, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265912299
- Provider Enumeration Date: 08/20/2018
- Last Update Date: 11/18/2024
Medical Identifiers
Medical identifiers for Kyle Wyman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265912299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW022109 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Wyman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyle Wyman, LCSW 3900 Woodland Ave, Philadelphia, PA 19104-4551 Ph: (215) 594-1445 | Kyle Wyman, LCSW 3900 Woodland Ave, Philadelphia, PA 19104-4551 Ph: (215) 594-1445 |
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