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

Shakeera Wynne

Individual provider Clinical Social Worker · NPI 1629568894

Shakeera Wynne is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018

Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-5764
Fax: (215) 456-5765
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 CW026813 (PA)

Record details

NPI number1629568894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025

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