MR. JEREMY SHANE WILSON CSW, LSW
NPI 1245747757
Social Worker in Cincinnati, OH

Q: What is Jeremy Wilson's NPI number?

The NPI number for Jeremy Wilson is 1245747757. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Q: What is Jeremy 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 Jeremy Wilson was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 05, 2018PECOS EnrolledAccepts Medicare Assignment

5400 EDALBERT DR, CINCINNATI, OH 45239(859) 536-5808(513) 741-5686 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Jeremy Shane Wilson Csw, Lsw NPPES

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

MR. JEREMY SHANE WILSON CSW, LSW (NPI 1245747757) is an individual social worker in Cincinnati, Ohio, licensed in Ohio (S.1000131) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245747757

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. JEREMY SHANE WILSONCredential: CSW, LSW

Location Address5400 EDALBERT DRCincinnati, OH 45239-7604

Mailing Address5400 Edalbert DrCincinnati, OH 45239-7604 · (513) 741-3100 · Fax (513) 741-5686

Phone(859) 536-5808

Fax(513) 741-5686

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 5, 2018

✔ NPI 1245747757 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 OH · S.1000131

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.

5400 EDALBERT DR, Cincinnati, OH 45239

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Mr. Jeremy Shane Wilson Csw, Lsw 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 ID3678930526

PECOS Enrollment IDI20230607003147, I20230609001283

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 20

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

MEGHAN F BERNDSEN BA

Case Manager/Care Coordinator