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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY R WILSON LCSW
NPI 1255639431
Social Worker - Clinical in Bowling Green, KY

Active since March 11, 2011PECOS EnrolledAccepts Medicare Assignment
1815 DESTINY LN STE C, BOWLING GREEN, KY 42104(270) 904-1072(270) 904-1073 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jan 14, 2019 (2 updates tracked since 2019).

About Kimberly R Wilson Lcsw NPPES

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

KIMBERLY R WILSON LCSW (NPI 1255639431) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (KY 3505) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1255639431
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY R WILSONCredential: LCSW
Location Address1815 DESTINY LN STE CBowling Green, KY 42104-1074
Mailing Address1815 Destiny Ln Ste CBowling Green, KY 42104-1074 · (270) 904-1072 · Fax (270) 904-1073
Phone(270) 904-1072
Fax(270) 904-1073
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 11, 2011
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1255639431 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 KY · KY 3505
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.
1815 DESTINY LN STE C, Bowling Green, KY 42104
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Secondary Practice Locations 2

Location 1252 N Main StRussellville, KY 42276-1825 · Phone (270) 904-1072 · Fax (270) 904-1073
Location 21312 Westen StBowling Green, KY 42104-3352 · Phone (270) 904-1072 · Fax (270) 904-1073

Other Identifiers 1

Medicaid7100269010KY

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 and accepts Medicare assignment

Kimberly R 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 ID7416172887
PECOS Enrollment IDI20140627001917
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
217 services22 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 2

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

MS. ABBY N DILL LCSW
Social Worker (Clinical)
1815 DESTINY LN STE C
BOWLING GREEN, KY 42104
Warren County (270) 904-1072
ALEXIS RENEE WILSON
Social Worker (Clinical)
1815 DESTINY LN STE C
BOWLING GREEN, KY 42104
Warren County (270) 904-1072

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 Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1255639431. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Where is Kimberly Wilson located?

Kimberly Wilson practices at 1815 Destiny Ln Ste C, Bowling Green, KY 42104. The listed phone number is (270) 904-1072.

What is Kimberly Wilson's specialty?

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

Is Kimberly Wilson enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Wilson accept?

Health plans from Providence Health Plan list Kimberly 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 Kimberly Wilson was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.