Provider Demographics
NPI:1750995627
Name:FRAME, WYNELL FOY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:WYNELL
Middle Name:FOY
Last Name:FRAME
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10883 BEECH CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1031
Mailing Address - Country:US
Mailing Address - Phone:520-269-1266
Mailing Address - Fax:
Practice Address - Street 1:10883 BEECH CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-1031
Practice Address - Country:US
Practice Address - Phone:520-269-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26131104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker