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

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: October 25, 2026.

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
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Accepted Insurance

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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
1,090 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 64 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 741-3100
MADELYN SMITH
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 741-3100
MATTHEW CHRISTOPHER WILSON
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 741-3100
LYNN PRICE
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 741-3100
JAYLISHA NICOLE HILL
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 741-3100
KELSEY ZAHNEIS
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (151) 374-1310
ALISSA VICTORIA TOCA
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 387-2161
SHABRIA WILSON
Case Manager/Care Coordinator
5400 EDALBERT DR
CINCINNATI, OH 45239
Hamilton County (513) 213-5010

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 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.

Where is Jeremy Wilson located?

Jeremy Wilson practices at 5400 Edalbert Dr, Cincinnati, OH 45239. The listed phone number is (859) 536-5808.

What is Jeremy Wilson's specialty?

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

Is Jeremy Wilson enrolled in Medicare?

Yes. Jeremy 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 Jeremy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Wilson reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Jeremy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, MedMutual and Oscar Health and 2 other insurers list Jeremy 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 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.