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MS. JENNIFER WENTWORTH WILSON LCADC, LCSWC
NPI 1093120677
Social Worker - Clinical in Upperco, MD

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
16528 FALLS RD, UPPERCO, MD 21155(410) 868-0001 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2023, Jul 21, 2022, Aug 15, 2017 (3 updates tracked since 2017).

About Ms. Jennifer Wentworth Wilson Lcadc, Lcswc NPPES

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

MS. JENNIFER WENTWORTH WILSON LCADC, LCSWC (NPI 1093120677) is an individual clinical provider in Upperco, Maryland, licensed in Maryland (18028) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093120677
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JENNIFER WENTWORTH WILSONCredential: LCADC, LCSWC
Location Address16528 FALLS RDUpperco, MD 21155-9483
Mailing Address16528 Falls RdUpperco, MD 21155-9483 · (410) 868-0001
Phone(410) 868-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 23, 2014
Last NPPES UpdateMarch 3, 20233 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1093120677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 18028
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCA2105 (MD)
16528 FALLS RD, Upperco, MD 21155
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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

Ms. Jennifer Wentworth Wilson Lcadc, Lcswc 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 ID2567736812
PECOS Enrollment IDI20170925003135
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 Reassignments

3

Medicare enrollment records show Jennifer Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedar Ridge Counseling Centers LLC
16 mi
Mental Health (Including Community Mental Health Center)
1311 LONDONTOWN BLVD, SUITE 130A
Eldersburg, MD 21784
  • Reassigned Medicare billing, Maryland enrollment
  • 60 clinicians in this Medicare group
NPI 1932103926 (410) 552-0773
K & i Healthcare Services
20 mi
Mental Health (Including Community Mental Health Center)
1800 N CHARLES ST STE 804
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 11 clinicians in this Medicare group
NPI 1477311355 (443) 873-8479
Maryland Health Foundation LLC
24 mi
Mental Health (Including Community Mental Health Center)
6910 HOLABIRD AVE STE A
Dundalk, MD 21222
  • Reassigned Medicare billing, Maryland enrollment
NPI 1417783358 (443) 761-9169

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 21155 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1093120677. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 16528 Falls Rd, Upperco, MD 21155. The listed phone number is (410) 868-0001.

What is Jennifer Wilson's specialty?

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

Is Jennifer Wilson enrolled in Medicare?

Yes. Jennifer 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 organizations bill Medicare for Jennifer Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wilson reassigns Medicare benefits to 3 organizations: Cedar Ridge Counseling Centers LLC (Eldersburg, MD), K & i Healthcare Services (Baltimore, MD) and Maryland Health Foundation LLC (Dundalk, MD). Each 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 Jennifer Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.