MR. JONATHAN WILSON LMSW
NPI 1215414248
Social Worker in White Plains, NY

Q: What is Jonathan Wilson's NPI number?

The NPI number for Jonathan Wilson is 1215414248. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Q: What is Jonathan Wilson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Wilson was last updated on July 6, 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.

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment

29 STERLING AVE, WHITE PLAINS, NY 10606(914) 949-1212(914) 949-5802 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2020, Jul 23, 2018 (2 updates tracked since 2018).

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About Mr. Jonathan Wilson Lmsw NPPES

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

MR. JONATHAN WILSON LMSW (NPI 1215414248) is an individual social worker in White Plains, New York, licensed in New York (103482) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215414248

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. JONATHAN WILSONCredential: LMSW

Location Address29 STERLING AVEWhite Plains, NY 10606-3001

Mailing Address580 White Plains Rd Ste 510Tarrytown, NY 10591-5152 · (914) 345-5900

Phone(914) 949-1212

Fax(914) 949-5802

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 23, 2018

Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1215414248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 103482

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

29 STERLING AVE, White Plains, NY 10606

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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

Mr. Jonathan Wilson Lmsw 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 ID2860857851

PECOS Enrollment IDI20230426001811

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.

Other Providers at the Same Location NPPES 6

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

DILLON BROWNE LMSW

Social Worker