Kimberly R Wilson, LCSW in Bowling Green, KY - Medicare Clinical Social Worker Provider

Kimberly R Wilson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bowling Green, Kentucky. She graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1815 Destiny Ln Ste C, Bowling Green, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 904-1072.

Kimberly R Wilson is licensed to practice in Kentucky (license number KY 3505) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255639431.

Contact Information

	Kimberly R Wilson, LCSW
	1815 Destiny Ln Ste C, Bowling Green, KY 42104-1074
	(270) 904-1072
	(270) 904-1073

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly R Wilson
Gender	Female
Speciality	Clinical Social Worker
Experience	21 Years
Location	1815 Destiny Ln Ste C, Bowling Green, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly R Wilson graduated from medical school in 2005

NPI Data:

NPI Number: 1255639431
Provider Enumeration Date: 03/11/2011
Last Update Date: 07/09/2026

Medicare PECOS Information:

PECOS PAC ID: 7416172887
Enrollment ID: I20140627001917

Medical Identifiers

Medical identifiers for Kimberly R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255639431	NPI	-	NPPES
7100269010	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	KY 3505 (Kentucky)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly R Wilson allows following entities to bill medicare on her behalf.

Entity Name	Wilson Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427480060 PECOS PAC ID: 6608091079 Enrollment ID: O20140627001883

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly R Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly R Wilson, LCSW 1815 Destiny Ln Ste C, Bowling Green, KY 42104-1074 Ph: (270) 904-1072	Kimberly R Wilson, LCSW 1815 Destiny Ln Ste C, Bowling Green, KY 42104-1074 Ph: (270) 904-1072

Reviews and Comments

Social Worker in Bowling Green, KY

Rebecca Woodrow, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570
Jamee N. Coombes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 948 Elm St Ste 2, Bowling Green, KY 42101 Phone: 270-266-1188
Vella Mae Travis, CSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 501 Chestnut St, Bowling Green, KY 42101 Phone: 270-901-5000
Alexandria Ann Carman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 661 Us 31w Byp, Bowling Green, KY 42101 Phone: 364-203-9250
Tara Defoor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln Ste 105, Bowling Green, KY 42104 Phone: 270-599-0847
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073
Kelly R Foust, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2815 Russellville Rd, Bowling Green, KY 42101 Phone: 270-883-1109

Kimberly R Wilson, LCSW - Medicare Clinical Social Worker in Bowling Green, KY