Katina Wilcher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019431 Issued in IL

Practice address

609 Crestwood Dr
Champaign, IL 61822-7369

Phone

(217) 390-2268

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• 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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD
• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287

  Multi-Specialty

  NPD (past)
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1932730835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CRESTWOOD DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227369",
            "telephone_number": "217-390-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CRESTWOOD DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227369",
            "telephone_number": "217-390-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCHER",
        "first_name": "KATINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilcherlcsw@deeroaks.com",
            "affiliation": "Y",
            "endpointDescription": "kwilcherlcsw@deeroaks.com",
            "affiliationName": "Deer Oaks Geriatric Services P C",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GNT",
            "address_1": "7272 Wurzbach Rd",
            "address_2": "Suite 706",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782404801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Luella Whitman, RBT
• David Patrick Wickness, D.M.D.
• Skyler Widener, RBT
• Gabriel Wiener
• Jennifer Ann Wier, MA
• Kortney Wilcher
• Jordan Kent Wiles, SSP, NCSP
• Carl Giovanni Wiley
• Lynn Norine Wiley
• Patricia Wilkinson, LCSW

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.