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KEVIN WILSON
NPI 1043798804
Social Worker - Clinical in Denver, CO

Active since August 03, 2018PECOS Enrolled
4455 E 12TH AVE, DENVER, CO 80220(303) 504-6500 Get Directions Write a Review

NPPES record last updated: August 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2020, Aug 3, 2018 (2 updates tracked since 2018).

About Kevin Wilson NPPES

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

KEVIN WILSON (NPI 1043798804) is an individual clinical provider in Denver, Colorado, licensed in Colorado (09926830) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043798804
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN WILSON
Location Address4455 E 12TH AVEDenver, CO 80220-2415
Mailing Address4455 E 12th AveDenver, CO 80220-2415
Phone(303) 504-6500
Sole ProprietorNo
Enumeration DateAugust 3, 2018
Last NPPES UpdateAugust 30, 20202 updates tracked since enumeration
NPPES CertifiedAugust 30, 2020
✔ NPI 1043798804 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 CO · 09926830
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.
4455 E 12TH AVE, Denver, CO 80220
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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)

Kevin Wilson 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 80220 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

STEFAN MICHAEL BUMOL
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
WHITNEY GOODWIN
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
CHARLOTTE SCHNEIDER LPN
Licensed Practical Nurse
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7882
AZIYAH PATTERSON
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
LAURA ANN OLSON LCSW
Social Worker (Clinical)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7668
MRS. ELANNA SOPHIA TRYON LPC
Counselor (Professional)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7707
CHARLES ELIAS KORANSKY MD
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-7700
ASHLEY MARIN DAVIS MSW
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Denver County (303) 504-6500

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 Kevin Wilson's NPI number?

The NPI number for Kevin Wilson is 1043798804. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Kevin Wilson located?

Kevin Wilson practices at 4455 E 12th Ave, Denver, CO 80220. The listed phone number is (303) 504-6500.

What is Kevin Wilson's specialty?

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

Is Kevin Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kevin Wilson was last updated on August 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.