Individual provider Active NPI

Katharine Dudley Whealdon

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1023533320
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14219 Issued in FL
Practice address
2606 Centennial PL
Tallahassee, FL 32308-0572
Phone
(850) 205-0189
Fax
(850) 329-2903
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14219 FL Primary

Addresses

Primary practice location

2606 Centennial PL
Tallahassee, FL 32308-0572

Mailing address

2606 Centennial PL
Tallahassee, FL 32308-0572
Phone (850) 205-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513001921 FL Practitioner - Clinical Social Worker 2264863968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Ferraro, LLCGroup PAC ID 6608097308, 41 clinicians

Practice addresses (Care Compare)

2606 Centennial PL
Tallahassee, FL 32308-0572
Phone (850) 205-0189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14219FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Ferraro, LLC CurrentSince May 2, 2020 Accepting new patients
Florida First Psychiatry Specialist LLC PastSince May 2, 2020 Accepting new patients

Locations

2606 Centennial Pl
Tallahassee, FL 32308
Phone (850) 205-0189

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1023533320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CENTENNIAL PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080572",
            "telephone_number": "850-205-0189",
            "fax_number": "850-329-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CENTENNIAL PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080572",
            "telephone_number": "850-205-0189",
            "fax_number": "850-329-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEALDON",
        "first_name": "KATHARINE",
        "middle_name": "DUDLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.