Jennifer Bates Wheeler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076858-1 Issued in NY

Practice address

307 7TH Ave
Suite 1402
New York, NY 10001-6007

Phone

(917) 371-8788

NPI assigned

Dec 12, 2010

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1292112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1649573775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHRISTOPHER ST",
            "address_2": "SUITE 6S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142803",
            "telephone_number": "917-371-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 7TH AVE",
            "address_2": "SUITE 1402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016007",
            "telephone_number": "917-371-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JENNIFER",
        "middle_name": "BATES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-12",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076858-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300067514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Whedbee, LCSW
• Pamela Wheeler-Civita
• C Christine Wheeler, PHD
• Gwyneth Wheeler
• Jason Wheeler, PHD
• Jessica Munro Wheeler, R.N.
• John Wheeler
• Juno Wheeler, LMSW
• Kalen Wheeler, LMHC
• L Wheeler, LCSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.