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ROBERT W WILSON LCSW
NPI 1093084683
Social Worker - Clinical in Tempe, AZ

Active since December 28, 2011PECOS EnrolledAccepts Medicare Assignment
2120 S MCCLINTOCK DR, SUITE 105, TEMPE, AZ 85282(480) 804-0326(480) 804-0083 Get Directions Write a Review

NPPES record last updated: April 23, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Robert W Wilson Lcsw NPPES

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

ROBERT W WILSON LCSW (NPI 1093084683) is an individual clinical provider in Tempe, Arizona, licensed in Arizona (LCSW-10294) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1093084683
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT W WILSONCredential: LCSW
Location Address2120 S MCCLINTOCK DR, SUITE 105Tempe, AZ 85282-2692
Mailing Address1400 E Southern Ave, Ste. 735Tempe, AZ 85282-5691 · (480) 804-0326 · Fax (480) 804-0083
Phone(480) 804-0326
Fax(480) 804-0083
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 28, 2011
Last NPPES UpdateApril 23, 2017
✔ NPI 1093084683 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 AZ · LCSW-10294
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.
2120 S MCCLINTOCK DR, Tempe, AZ 85282
Open in Google Maps ↗

Other Identifiers 2

Medicaid668301AZ
Medicare PINZ173580AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert W Wilson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961679683
PECOS Enrollment IDI20120120000710
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
582 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Arizona enrollment
  • 191 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85282 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

JAMIE L HANCOCK LAC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
CHRISTIA J. LEWIS LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
GRANT RUSSEL NEES M.ED. IN COUNSELING
Counselor (Mental Health)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
GAYLON CALAHAN LMSW
Social Worker
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
THOMAS RUDERSTALLER LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, STE. 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
CRISCYNTHIA LINDSEY LMSW
Social Worker
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
TIFFANY A WILLIAMS LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
MRS. BETH ANN BABCOCK LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326

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 Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1093084683. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Where is Robert Wilson located?

Robert Wilson practices at 2120 S Mcclintock Dr Suite 105, Tempe, AZ 85282. The listed phone number is (480) 804-0326.

What is Robert Wilson's specialty?

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

Is Robert Wilson enrolled in Medicare?

Yes. Robert Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Robert Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Wilson reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Wilson accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Robert Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Wilson was last updated on April 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.