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JESSICA PLOURDE WILSON MSW LCSW
NPI 1104931997
Social Worker - Clinical in Fort Kent, ME

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
12 BOLDUC AVE, FORT KENT, ME 04743(207) 834-3971(207) 834-3837 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Plourde Wilson Msw Lcsw NPPES

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

JESSICA PLOURDE WILSON MSW LCSW (NPI 1104931997) is an individual clinical provider in Fort Kent, Maine, licensed in Maine (LC8165) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eagle Lake, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1104931997
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA PLOURDE WILSONCredential: MSW LCSW
Location Address12 BOLDUC AVEFort Kent, ME 04743-1602
Mailing Address12 Bolduc AveFort Kent, ME 04743-1602 · (207) 834-3971 · Fax (207) 834-3837
Phone(207) 834-3971
Fax(207) 834-3837
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1104931997 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 ME · LC8165
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.
12 BOLDUC AVE, Fort Kent, ME 04743
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Secondary Practice Location 1

Location 110 Carter StEagle Lake, ME 04739-3060 · Phone (207) 444-5973 · Fax (207) 444-5520

Other Identifiers 1

Medicaid414770099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Plourde Wilson Msw 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 ID143299065
PECOS Enrollment IDI20040928000770
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 04743 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 $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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 17

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

EMILY CATHERINE THIBEAULT RN-BSN
Registered Nurse
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
CAMERON GRANGE MD
Family Medicine
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
JENNIFER LEE MALMBORG RN-BSN
Registered Nurse (Case Management)
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
LIVIA GRACE BOUCHARD RN-BSN
Registered Nurse
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
ALICIA MARY BERNIER RN BSN
Registered Nurse
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
NICOLE MARIE THERIAULT RN CARE MANAGER
Registered Nurse (Case Management)
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
SARAH PATRICIA PELLETIER CNP
Nurse Practitioner (Family)
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971
REBECCA MICHAUD RN-BSN
Registered Nurse
12 BOLDUC AVE
FORT KENT, ME 04743
Aroostook County (207) 834-3971

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 Jessica Wilson's NPI number?

The NPI number for Jessica Wilson is 1104931997. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Jessica Wilson located?

Jessica Wilson practices at 12 Bolduc Ave, Fort Kent, ME 04743. The listed phone number is (207) 834-3971.

What is Jessica Wilson's specialty?

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

Is Jessica Wilson enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica 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 Jessica Wilson was last updated on March 22, 2021. 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.