Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KELLY JO MEDEIROS-WHEELER LCSW
NPI 1508166919
Social Worker - Clinical in Sherwood, OR

Q: What is Kelly Medeiros-wheeler's NPI number?

The NPI number for Kelly Medeiros-wheeler is 1508166919. It was assigned to this individual provider in the NPPES registry on November 1, 2010.

Q: What is Kelly Medeiros-wheeler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since November 01, 2010PECOS Enrolled

21887 SW SHERWOOD BLVD STE C, SHERWOOD, OR 97140(503) 966-4154(503) 506-0628 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Mar 25, 2026, Mar 29, 2016 and 1 more (4 updates tracked since 2015).

On this page

About Ms. Kelly Jo Medeiros-wheeler Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY JO MEDEIROS-WHEELER LCSW (NPI 1508166919) is an individual clinical provider in Sherwood, Oregon, licensed in Oregon (L4416) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508166919

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KELLY JO MEDEIROS-WHEELERCredential: LCSW

Location Address21887 SW SHERWOOD BLVD STE CSherwood, OR 97140-9459

Mailing Address21370 Sw Langer Farms Pkwy Ste 142, Pmb-414Sherwood, OR 97140 · (503) 966-4154 · Fax (503) 506-0628

Phone(503) 966-4154

Fax(503) 506-0628

Sole ProprietorYes

Enumeration DateNovember 1, 2010

Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1508166919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L4416

Definition

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.

21887 SW SHERWOOD BLVD STE C, Sherwood, OR 97140

Open in Google Maps ↗

Other Identifiers 1

Medicaid500658417OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Jo Medeiros-wheeler Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.99 – $176.88

Typical copayment $0.00 (range $14.74 – $44.22)

Most-billed visit code NA

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYCIE LEEANN MONSON MS

Marriage & Family Therapist