Ms Jennifer Wentworth Wilson, LCADC, LCSWC is a medicare enrolled "Social Worker - Clinical" provider in Upperco, Maryland. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jennifer Wilson Lcswc Lcadc Llc and her current practice location is
16528 Falls Rd, Upperco, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 868-0001.
Ms Jennifer Wentworth Wilson is licensed to practice in Maryland (license number 18028) 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 1093120677.
Healthcare Provider's Profile
Full Name | Ms Jennifer Wentworth Wilson |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 12 Years |
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Location | 16528 Falls Rd, Upperco, Maryland |
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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:
- Ms Jennifer Wentworth Wilson graduated from medical school in 2012
NPI Data:
- NPI Number: 1093120677
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567736812
- Enrollment ID: I20170925003135
Medical Identifiers
Medical identifiers for Ms Jennifer Wentworth Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093120677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA2105 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 18028 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jennifer Wilson Lcswc Lcadc Llc | 3870839590 | 2 |
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. Ms Jennifer Wentworth Wilson allows following entities to bill medicare on her behalf.
Entity Name | Cedar Ridge Counseling Centers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932103926 PECOS PAC ID: 4981649738 Enrollment ID: O20110628000570 |
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Entity Name | Paul T. Barbera M.d., P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740555226 PECOS PAC ID: 3375701733 Enrollment ID: O20120215000352 |
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Entity Name | Jr Health Care Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689042541 PECOS PAC ID: 0547517526 Enrollment ID: O20180723000446 |
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Entity Name | Jennifer Wilson Lcswc Lcadc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033691407 PECOS PAC ID: 3870839590 Enrollment ID: O20190116002303 |
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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. Ms Jennifer Wentworth 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 |
Ms Jennifer Wentworth Wilson, LCADC, LCSWC 16528 Falls Rd, Upperco, MD 21155-9483 Ph: (410) 868-0001 | Ms Jennifer Wentworth Wilson, LCADC, LCSWC 16528 Falls Rd, Upperco, MD 21155-9483 Ph: (410) 868-0001 |
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