Kathryn Wilderotter, LCSW-C, CTP-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

17904 Georgia Ave Ste 200
Olney, MD 20832-2277

Phone

(240) 304-3327

NPI assigned

Jul 28, 2017

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

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  DC, MD, Social Worker

  Medicare reassignment NPD
• Empower Vox LLC

  • Social Worker
  • Silver Spring, MD
  • NPI 1043024011
  NPD Authorized official
• Maryland Treatment Centers Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockville, MD
  • NPI 1760644835
  NPD (past)
• Recovery Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1477822500
  NPD (past)

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1871017160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE STE 200B",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322277",
            "telephone_number": "240-304-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE STE 200",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322277",
            "telephone_number": "240-304-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDEROTTER",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, CTP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette White, R.PH.
• Tiffany A Whitehead, PA
• Jil Marie Whittle, LCSW
• Sandy Gay Wiese, CRNP
• Gretchen Schmidt Wilder, PHARM.D
• Erin Will, ATC
• Jaclyn Ann Williams, PTA
• Joy Williams
• Michael B Williams, DO
• Revlon Williams, MS

• Clinical Social Worker in Olney, MD
• Providers in Olney, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.