Provider Demographics
NPI:1679317580
Name:WHEELER, CAITLIN MARY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MARY
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5029 W FILLMORE DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-2388
Mailing Address - Country:US
Mailing Address - Phone:708-256-0902
Mailing Address - Fax:
Practice Address - Street 1:N14W23777 STONE RIDGE DR STE 290
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1140
Practice Address - Country:US
Practice Address - Phone:414-667-5809
Practice Address - Fax:262-393-2462
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11149-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical