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JEANINE MICHELLE WILSON LICSW
NPI 1033418611
Social Worker - Clinical in Upper Marlboro, MD

Active since March 22, 2011PECOS Enrolled
4809 COLONEL BROOKE CT, UPPER MARLBORO, MD 20772(410) 507-8183(301) 780-3271 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeanine Michelle Wilson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANINE MICHELLE WILSON LICSW (NPI 1033418611) is an individual clinical provider in Upper Marlboro, Maryland, licensed in District Of Columbia (LC50078965) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033418611
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANINE MICHELLE WILSONCredential: LICSW
Location Address4809 COLONEL BROOKE CTUpper Marlboro, MD 20772-2872
Mailing Address4809 Colonel Brooke CtUpper Marlboro, MD 20772-2872 · (410) 507-8183 · Fax (301) 780-3271
Phone(410) 507-8183
Fax(301) 780-3271
Sole ProprietorYes
Enumeration DateMarch 22, 2011
✔ NPI 1033418611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in DC · LC50078965
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4809 COLONEL BROOKE CT, Upper Marlboro, MD 20772
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Michelle Wilson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanine Wilson's NPI number?

The NPI number for Jeanine Wilson is 1033418611. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Jeanine Wilson located?

Jeanine Wilson practices at 4809 Colonel Brooke Ct, Upper Marlboro, MD 20772. The listed phone number is (410) 507-8183.

What is Jeanine Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeanine Wilson enrolled in Medicare?

Yes. Jeanine Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanine Wilson was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.