Active NPI
Debra Wheeler, LSW
- Social Worker
- Wheeling, WV
National Provider Identifier
1942949326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00940638
- Practice address
- 87 15TH St
Wheeling, WV 26003-3548 - Phone
- (304) 233-9627
- NPI assigned
- Jun 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00940638 | WV | Primary |
Addresses
Primary practice location
87 15TH St
Wheeling, WV 26003-3548
Mailing address
87 15TH St
Wheeling, WV 26003-3548
Phone (304) 233-9627
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00940638 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Services System, Inc. | Social Worker | Current | Accepting new patients |
Locations
87 15th St
Wheeling, WV 26003
Phone 3042339627 ext. 115
Organizations & group practices 1
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": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1942949326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 15TH ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033548",
"telephone_number": "304-233-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 15TH ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033548",
"telephone_number": "304-233-9627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DEBRA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00940638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.