Individual provider · Type 1 NPI

Kelly Jo Medeiros-Wheeler, LCSW

Clinical Social Worker · Sherwood, OR

NPI number 1508166919 Active

Practice location

21887 SW Sherwood Blvd Ste C
Sherwood, OR 97140-9459

Fax (503) 506-0628

Mailing address

21370 SW Langer Farms Pkwy Ste 142, PMB-414
Sherwood, OR 97140

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4416 (OR)

Clinical Social Worker: 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 interpers…

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About NPI 1508166919

Kelly Jo Medeiros-Wheeler, LCSW's National Provider Identifier is 1508166919, issued on Nov 1, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sherwood, OR. The record was last updated on Jul 17, 2026.