Provider Demographics
NPI:1922881523
Name:WHEELER, AARON MATTHEW (LCSW)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MATTHEW
Last Name:WHEELER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 FALL BROOKE RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3794
Mailing Address - Country:US
Mailing Address - Phone:302-740-9466
Mailing Address - Fax:
Practice Address - Street 1:30 FALL BROOKE RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3794
Practice Address - Country:US
Practice Address - Phone:302-740-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00007131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical