1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Social Worker
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS THEODORE WILSON LCSW
NPI 1083465264
Social Worker - Clinical in Rochester, NY

Active since March 27, 2024PECOS Enrolled
1381 E RIDGE RD STE 5, ROCHESTER, NY 14621(585) 922-2500(585) 922-2710 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Theodore Wilson Lcsw NPPES

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

THOMAS THEODORE WILSON LCSW (NPI 1083465264) is an individual clinical provider in Rochester, New York, licensed in New York (101271) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083465264
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHOMAS THEODORE WILSONCredential: LCSW
Location Address1381 E RIDGE RD STE 5Rochester, NY 14621-2019
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · Fax (585) 922-1011
Phone(585) 922-2500
Fax(585) 922-2710
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1083465264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 101271✔ Licensed in CA · 116209
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.
1381 E RIDGE RD STE 5, Rochester, NY 14621
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Theodore Wilson Lcsw 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 14621 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 14

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

JULIE E CURRAN LMHC
Counselor (Mental Health)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500
SHANNON STEWART JONES NP
Nurse Practitioner (Psychiatric/Mental Health)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500
ERIC J BREWER M.D.
Psychiatry & Neurology (Psychiatry)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500
ADRIAN M LEIBOVICI M.D.
Psychiatry & Neurology (Psychiatry)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500
NADIE L MORANTE LCSW
Social Worker (Clinical)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2614
MAGDALENA EWA SZKLARSKA-IMIOLEK M.D
Psychiatry & Neurology (Psychiatry)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500
ABIGAIL CRONIN
Counselor (Mental Health)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500
MS. MELANIE B. MURPHY NP
Nurse Practitioner (Psychiatric/Mental Health)
1381 E RIDGE RD STE 5
ROCHESTER, NY 14621
Monroe County (585) 922-2500

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 Thomas Wilson's NPI number?

The NPI number for Thomas Wilson is 1083465264. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Thomas Wilson located?

Thomas Wilson practices at 1381 E Ridge Rd Ste 5, Rochester, NY 14621. The listed phone number is (585) 922-2500.

What is Thomas Wilson's specialty?

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

Is Thomas Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Wilson was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.