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HOLLY J WILSON LCSW
NPI 1144832213
Social Worker - Clinical in Tampa, FL

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment
19194 LAKE AUDUBON DR, TAMPA, FL 33647(813) 629-5303 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holly J Wilson Lcsw NPPES

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

HOLLY J WILSON LCSW (NPI 1144832213) is an individual clinical provider in Tampa, Florida, licensed in Florida (SW6220) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144832213
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY J WILSONCredential: LCSW
Location Address19194 LAKE AUDUBON DRTampa, FL 33647-3232
Mailing Address19194 Lake Audubon DrTampa, FL 33647-3232 · (813) 629-5303
Phone(813) 629-5303
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1144832213 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 FL · SW6220
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.
19194 LAKE AUDUBON DR, Tampa, FL 33647
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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

Holly J 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 ID4587148374
PECOS Enrollment IDI20260319002200, I20260319002603
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 Holly Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sailor Health Medical PA
210 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida and North Carolina enrollments
  • 109 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333

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 33647 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Holly Wilson's NPI number?

The NPI number for Holly Wilson is 1144832213. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Holly Wilson located?

Holly Wilson practices at 19194 Lake Audubon Dr, Tampa, FL 33647. The listed phone number is (813) 629-5303.

What is Holly Wilson's specialty?

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

Is Holly Wilson enrolled in Medicare?

Yes. Holly 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 Holly Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Wilson reassigns Medicare benefits to Sailor Health Medical PA (Coral Gables, FL). 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 Holly 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 Holly Wilson was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.