MS. KATHRYN WILDEROTTER (NPI# 1871017160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871017160 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN WILDEROTTER |
| Credential | LCSW-C, CTP-C |
| Practice Address |
402 Hungerford Dr Rockville MD 20850-4119 |
| Mailing Address |
17904 Georgia Ave Ste 200b Olney MD 20832-2277 |
| Practice Telephone | (301) 294-4015 |
| Mailing Telephone | 2403043327 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
402 HUNGERFORD DR |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639358351 | Virginia Evangeline Murphy | Counselor | 402 Hungerford Dr, Rockville, MD 20850-4119 | 2007-10-30 |
| 1477822500 | Recovery Health Services, LLC | Counselor | 402 Hungerford Dr, Rockville, MD 20850-4119 | 2011-12-19 |
| 1760644835 | Maryland Treatment Centers Inc | Clinic/Center | 402 Hungerford Dr, Rockville, MD 20850-4119 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567967 | Kathryn Davenport | Social Worker | 14821 Lake Ter, Rockville, MD 20853-3632 | 2020-08-08 |
| 1063064095 | Kenyetta Marie Joseph | Social Worker | 14915 Broschart Rd Ste 2300, Rockville, MD 20850-3350 | 2019-07-10 |
| 1083274104 | Eva P Crawford | Social Worker | 607 N Stonestreet Ave, Rockville, MD 20850-1234 | 2019-06-20 |
| 1609359389 | D.a. Wynne & Associates,inc. | Social Worker | 11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668 | 2018-09-10 |
| 1669951349 | Tara Huber | Social Worker | 50 Maryland Ave, Rockville, MD 20850-2320 | 2018-08-13 |
| 1689153389 | Diana Silvia Martins | Social Worker | 50 Maryland Avenue, Rockville, MD 20850 | 2018-08-13 |
| 1013403492 | Beth Tabachnick | Social Worker | 313 Fallsgrove Dr, Rockville, MD 20850-4731 | 2018-07-09 |
| 1639662240 | Joan Wessel | Social Worker | 110 N Washington St Ste 501c, Rockville, MD 20850-2223 | 2018-06-08 |
| 1780107227 | Growing Minds | Social Worker | 3204 Tower Oaks Blvd Ste 180, Rockville, MD 20852-4206 | 2017-07-17 |
| 1083152193 | Ka Y Wong | Social Worker | 191 E Jefferson St # 620, Rockville, MD 20850-2630 | 2017-02-09 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.