Individual provider Active NPI

Juno Wheeler, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1245907922
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113631 Issued in NY
Practice address
57 W 57TH St Ste 1004
New York, NY 10019-2821
Phone
(888) 786-3158
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 113631 NY Primary

Addresses

Primary practice location

57 W 57TH St Ste 1004
New York, NY 10019-2821

Mailing address

57 W 57TH St Ste 1004
New York, NY 10019-2821
Phone (888) 786-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260218004315 NY Practitioner - Clinical Social Worker 8628558525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

292 Dekalb Ave
Brooklyn, NY 11205-3736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113631NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutic Support LCSW PC Clinical CurrentSince Dec 13, 2025 Accepting new patients
Well Behavioral Health LLC CurrentSince Apr 15, 2026 Accepting new patients
Northside Center for Child Development Day School PastSince Sep 5, 2021 Accepting new patients
Northside Center for Child Development, Inc. Multi-Specialty PastSince Sep 5, 2021 Accepting new patients

Locations

57 W 57th St
Ste 1004
New York, NY 10019
Phone (212) 765-5030

459 Columbus Ave
New York, NY 10024
Phone (212) 884-6282

Organizations & group practices 4

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1245907922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192821",
            "telephone_number": "888-786-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192821",
            "telephone_number": "888-786-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JUNO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "113631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.