Individual provider · Type 1 NPI

Kathryn Wilderotter, LCSW-C, CTP-C

Clinical Social Worker · Olney, MD

NPI number 1871017160 Active

Practice location

17904 Georgia Ave Ste 200
Olney, MD 20832-2277

Mailing address

17904 Georgia Ave Ste 200B
Olney, MD 20832-2277

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1871017160

Kathryn Wilderotter, LCSW-C, CTP-C's National Provider Identifier is 1871017160, issued on Jul 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Olney, MD. The record was last updated on Feb 4, 2025.