MR. JOHN ROOSEVELT WILSON LISW
NPI 1093955775
Social Worker - Clinical in Grove City, OH

Active since February 20, 2009PECOS Enrolled
1955 OHIO DR, GROVE CITY, OH 43123(614) 257-5800(614) 257-5801 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John Roosevelt Wilson Lisw NPPES

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

MR. JOHN ROOSEVELT WILSON LISW (NPI 1093955775) is an individual clinical provider in Grove City, Ohio, licensed in Ohio (I0600163) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093955775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN ROOSEVELT WILSONCredential: LISW
Location Address1955 OHIO DRGrove City, OH 43123-4835
Mailing Address339 Wind Rush AveColumbus, OH 43213-4439 · (614) 986-8911
Fax(614) 257-5801
Sole ProprietorYes
Enumeration DateFebruary 20, 2009
NPI 1093955775 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 · I0600163
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.
1955 OHIO DR, Grove City, OH 43123

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. John Roosevelt Wilson Lisw 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 43123 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 9

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

Social Worker (Clinical)
1955 OHIO DR
GROVE CITY, OH 43123
Counselor (Addiction (Substance Use Disorder))
1955 OHIO DR
GROVE CITY, OH 43123
Psychiatry & Neurology (Psychiatry)
1955 OHIO DR
GROVE CITY, OH 43123
Social Worker (Clinical)
1955 OHIO DR
GROVE CITY, OH 43123
Audiologist
1955 OHIO DR
GROVE CITY, OH 43123
Counselor (Addiction (Substance Use Disorder))
1955 OHIO DR
GROVE CITY, OH 43123
Family Medicine
1955 OHIO DR
GROVE CITY, OH 43123
Counselor (Addiction (Substance Use Disorder))
1955 OHIO DR
GROVE CITY, OH 43123

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 John Wilson's NPI number?

The NPI number for John Wilson is 1093955775. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is John Wilson located?

John Wilson practices at 1955 Ohio Dr, Grove City, OH 43123. The listed phone number is (614) 257-5800.

What is John Wilson's specialty?

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

Is John Wilson enrolled in Medicare?

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

What insurance does John Wilson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list John 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 John Wilson was last updated on February 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.