MS. KELLY JO MEDEIROS-WHEELER (NPI# 1508166919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508166919 |
| Entity Type | Individual |
| Full Name | MS. KELLY JO MEDEIROS-WHEELER |
| Credential | LCSW |
| Practice Address |
2251 E Hancock St Suite 103 Newberg OR 97132-2145 |
| Mailing Address |
Po Box 568 Cornelius OR 97113-0568 |
| Practice Telephone | 9712813000 |
| Practice Fax Number | 5033574371 |
| Mailing Telephone | 5033528657 |
| Mailing Fax Number | 5033528658 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L4416 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500658417 | 05 |
| Street Address |
2251 E HANCOCK ST SUITE 103 |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700033677 | Annmarie Cc Overholser | Family Medicine | 2251 E Hancock St, Newberg, OR 97132-2145 | 2008-08-22 |
| 1336517374 | Lynda Jensen | Counselor | 2251 E Hancock St, Newberg, OR 97132-2145 | 2015-09-08 |
| 1710364203 | Emily Wynsma | Counselor | 2251 E Hancock St, 103, Newberg, OR 97132-2145 | 2015-05-04 |
| 1356753214 | David Villegas | Pharmacist | 2251 E Hancock St, Newberg, OR 97132-2145 | 2014-05-27 |
| 1720403181 | Vg Newberg Pharmacy | Pharmacy | 2251 E Hancock St, Newberg, OR 97132-2145 | 2014-02-21 |
| 1245661636 | Virginia Garcia Memorial Health Center | Clinic/Center | 2251 E Hancock St, Newberg, OR 97132-2145 | 2013-12-10 |
| 1982042578 | Martin Peters | Family Medicine | 2251 E Hancock St, Suite 103, Newberg, OR 97132-2145 | 2013-06-05 |
| 1134461627 | Tochukwu Chinwendu Onwuachusi-okeke | Dentist | 2251 E Hancock St, Suite 103, Newberg, OR 97132-2145 | 2013-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| 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 |
|---|---|---|---|---|
| 1033633813 | Timothy Steven Irmen | Social Worker | 710 E Foothills Dr Ste 104c, Newberg, OR 97132-6125 | 2017-08-02 |
| 1437409414 | Marlena Laura-joann Johnson | Social Worker | 444 Villa Rd, Newberg, OR 97132-1856 | 2012-09-17 |
| 1689806507 | Barbara Kollmar LLC | Social Worker | 307 E 2nd St, Suite 130, Newberg, OR 97132-3076 | 2009-08-11 |
| 1033322789 | Mary Teresa Wikander | Social Worker | 120 So Elliott Rd, Ste 200, Newberg, OR 97132 | 2007-05-08 |
| 1144388596 | Carley Gage Lindsay | Social Worker | 120 S Elliott Rd, Ste 200, Newberg, OR 97132-2183 | 2006-12-05 |
| 1710594155 | Heartwood Center, LLC | Social Worker | 200 E 2nd St Ste 102, Newberg, OR 97132-3083 | 2020-09-29 |
| 1013325497 | Pearls Counseling LLC | Social Worker | 120 N Everest Rd Ste C, Newberg, OR 97132-2116 | 2014-07-29 |
| 1467650895 | Linda Ann Yegge-brannon | Social Worker | 120-c N Everest Rd, Newberg, OR 97132-2116 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1013516574 | Kathleen Elizabeth Preuss | Social Worker | 14075 Sw Chinn Ln Apt 337, Tigard, OR 97224-0934 | 2020-10-25 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1740887249 | Bethany Anne Harvey | Social Worker | 14020 Se Briggs St, Milwaukie, OR 97267-1503 | 2020-10-07 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.