Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Wheeler, LCSW

Individual provider Clinical Social Worker · NPI 1154932119

Katherine Wheeler, LCSW is a Clinical Social Worker in Waterloo, New York. Graduated from University of New England, College of Osteo Medicine in 2010, 16 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
University of New England, College of Osteo Medicine
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12 E River St
Waterloo, NY 13165-1733
Phone: (315) 758-0587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 097594 (NY)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1154932119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address12 E River St, Waterloo, NY 13165-1733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2010 (16 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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