Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. David Wynn, LCSW

Individual provider Clinical Social Worker · NPI 1164859989

Mr. David Wynn, LCSW is a Clinical Social Worker in Nampa, Idaho. Qualified in 2009, 17 years ago. Practices with Talkspace Provider Network PA, a 256-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1924 W Michelle Dr
Nampa, ID 83651-7653
Phone: (208) 996-8402
Fax: (208) 213-2789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW - 33256 (ID)

Record details

NPI number1164859989
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 11, 2013
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Talkspace Provider Network Pa — 256 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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