Active NPI
Kate Wheeler, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1437636560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090644
- Practice address
- 112 Meserole St Apt 4
Brooklyn, NY 11206-2050 - Phone
- (919) 812-4210
- NPI assigned
- Jul 21, 2018
- Last updated
- Aug 26, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 097820 | NY | |
| Clinical Social Worker | 1041C0700X | 149020634 | IL | |
| Clinical Social Worker | 1041C0700X | 090644 | NY | Primary |
Addresses
Primary practice location
112 Meserole St Apt 4
Brooklyn, NY 11206-2050
Mailing address
112 Meserole St Apt 4
Brooklyn, NY 11206-2050
Phone (919) 812-4210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090644 | Other | NY | NEW YORK STATE DEPARTMENT OF EDUCATION |
| 149020634 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097820 | NY | MD | Social Worker |
| 090644 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1437636560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MESEROLE ST APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112062050",
"telephone_number": "919-812-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MESEROLE ST APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112062050",
"telephone_number": "919-812-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "KATE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-21",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097820",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149020634",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE DEPARTMENT OF EDUCATION",
"identifier": "090644",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "149020634",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.