Micaela R Wildermuth, LSCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11309 Issued in KS

Practice address

5020 SW 28TH St
Topeka, KS 66614-2348

Phone

(785) 289-1862

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Micaela R Sands Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1114586062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW WEST ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666081955",
            "telephone_number": "785-230-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142348",
            "telephone_number": "785-289-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDERMUTH",
        "first_name": "MICAELA",
        "middle_name": "R",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07311",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "2121 SW Chelsea Dr",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666141756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "SANDS",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Jonathan Wilburn
• Britnee Wilcox
• Trevonne D Wilcox
• Jolene Wilcoxson
• Shannon Marie Johnson Wilder, PH.D.
• Piper Wiles, LMLP
• Thomas M Wiley, MD
• Anastacia Lynne Wilhelm, RN
• Bastian Jakub Wilhelm, MD
• Sara A Wilhelm, PA-C

• Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.