JASMINE DENISE WILSON LCSW - NPI 1114497617 - Social Worker in Rochester, NY

Q: What is Jasmine Wilson's NPI number?

The NPI number for Jasmine Wilson is 1114497617. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Q: What is Jasmine Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jasmine Wilson was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jasmine Denise Wilson Lcsw NPPES

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

JASMINE DENISE WILSON LCSW (NPI 1114497617) is an individual clinical provider in Rochester, New York, licensed in New York (099360-01) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114497617

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJASMINE DENISE WILSONCredential: LCSW

Location Address950 NORTON STRochester, NY 14621-3732

Mailing Address17 W Crest DrRochester, NY 14606-4709 · (585) 216-7519

Phone(585) 216-7519

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 28, 2018

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1114497617 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 NY · 099360-01

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 ListedSocial WorkerTaxonomy 104100000X · License 104477-1 (NY)

950 NORTON ST, Rochester, NY 14621

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Jasmine Denise Wilson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678051042

PECOS Enrollment IDI20260128002789

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 11

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

MS. KANIKA SHUKURA MOXLEY RN, BSN

Registered Nurse