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MRS. JUDY M WILSON MSW/LISW
NPI 1043239379
Social Worker - Clinical in Mount Vernon, OH

Active since July 18, 2006PECOS Enrolled
8402 BLACKJACK ROAD EXT, MOUNT VERNON, OH 43050(740) 397-0442(740) 392-1814 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Judy M Wilson Msw/lisw NPPES

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

MRS. JUDY M WILSON MSW/LISW (NPI 1043239379) is an individual clinical provider in Mount Vernon, Ohio, licensed in Ohio (I-0005121) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1043239379
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JUDY M WILSONCredential: MSW/LISW
Location Address8402 BLACKJACK ROAD EXTMount Vernon, OH 43050-9193
Mailing Address8402 Blackjack Road ExtMount Vernon, OH 43050-9193 · (740) 397-0442 · Fax (740) 392-1814
Phone(740) 397-0442
Fax(740) 392-1814
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043239379 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 OH · I-0005121
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.
8402 BLACKJACK ROAD EXT, Mount Vernon, OH 43050
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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)

Mrs. Judy M Wilson Msw/lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365414430
PECOS Enrollment IDI20120821000998
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 43050 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELLEN KAYE MILES MSW, LSW
Social Worker
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 522-8477
ASHLEY A SHAW LSW
Social Worker
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 522-8477
REGINA L FOX LSW
Social Worker
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 522-8477
DEBORAH L WHITMORE LISW-S
Social Worker (Clinical)
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 522-8477
MRS. ROBIA L KAYLOR MSW/LISW
Social Worker (Clinical)
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 397-0442
DANELLE A BARNEY LSW
Social Worker
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 522-8477
JONNA R BLOOMFIELD LSW
Social Worker
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 522-8477
DUSTIN GREGORY CDCA
Counselor (Addiction (Substance Use Disorder))
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050
Knox County (740) 258-3587

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 Judy Wilson's NPI number?

The NPI number for Judy Wilson is 1043239379. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Judy Wilson located?

Judy Wilson practices at 8402 Blackjack Road Ext, Mount Vernon, OH 43050. The listed phone number is (740) 397-0442.

What is Judy Wilson's specialty?

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

Is Judy Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Judy Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.