Active NPI
Katelyn Wilson, LMSW
- Social Worker
- Vancouver, WA
National Provider Identifier
1013378082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 093083-1
- Practice address
- 400 W 8TH St Unit 226
Vancouver, WA 98660-3442 - Phone
- (609) 731-4856
- NPI assigned
- Mar 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 093083-1 | NY | Primary |
| Social Worker | 104100000X | 093083 | NY |
Addresses
Primary practice location
400 W 8TH St Unit 226
Vancouver, WA 98660-3442
Mailing address
400 W 8TH St Unit 226
Vancouver, WA 98660-3442
Phone (609) 731-4856
Other practice location 1
260 Madison Ave Rm 8006
New York, NY 10016
Phone (212) 335-0511
Other practice location 2
162 W 80th St.
Apt E
New York, NY 10024-6339
Phone (609) 731-4856
Other names 1
- Katelyn Murphy
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 |
|---|---|---|---|
| 093083 | NY | MD | Social Worker |
| 093083-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1013378082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 8TH ST UNIT 226",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603442",
"telephone_number": "609-731-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 8TH ST UNIT 226",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603442",
"telephone_number": "609-731-4856"
}
],
"practiceLocations": [
{
"address_1": "260 Madison Ave Rm 8006",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10016",
"country_code": "US",
"telephone_number": "212-335-0511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "162 W 80th St.",
"address_2": "Apt E",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100246339",
"country_code": "US",
"telephone_number": "609-731-4856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "KATELYN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093083-1",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "MURPHY",
"credential": "LMSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.