MS. KATHRYN WILDEROTTER LCSW-C, CTP-C
NPI 1871017160
Social Worker - Clinical in Olney, MD

Q: What is Kathryn Wilderotter's NPI number?

The NPI number for Kathryn Wilderotter is 1871017160. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Kathryn Wilderotter's specialty?

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

Active since July 28, 2017PECOS Enrolled

17904 GEORGIA AVE STE 200, OLNEY, MD 20832(240) 304-3327 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Jul 21, 2022, Jul 2, 2020 and 1 more (4 updates tracked since 2017).

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About Ms. Kathryn Wilderotter Lcsw-c, Ctp-c NPPES

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

MS. KATHRYN WILDEROTTER LCSW-C, CTP-C (NPI 1871017160) is an individual clinical provider in Olney, Maryland and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871017160

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KATHRYN WILDEROTTERCredential: LCSW-C, CTP-C

Location Address17904 GEORGIA AVE STE 200Olney, MD 20832-2277

Mailing Address17904 Georgia Ave Ste 200bOlney, MD 20832-2277 · (240) 304-3327

Phone(240) 304-3327

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 28, 2017

Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1871017160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

17904 GEORGIA AVE STE 200, Olney, MD 20832

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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. Kathryn Wilderotter Lcsw-c, Ctp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527534403

PECOS Enrollment IDI20260610004421

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 20832 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 $65.18 – $194.86

Typical copayment $0.00 (range $16.29 – $48.71)

Most-billed visit code NA

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 20

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

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