JORDAN R WILSON LICSW
NPI 1346898111
Social Worker - Clinical in Boston, MA

Q: What is Jordan Wilson's NPI number?

The NPI number for Jordan Wilson is 1346898111. It was assigned to this individual provider in the NPPES registry on August 26, 2019. The provider is also known as Jordan Nejaime.

Q: What is Jordan Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Wilson was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 August 26, 2019PECOS EnrolledAccepts Medicare Assignment

1340 BOYLSTON ST, BOSTON, MA 02215(617) 247-7555(617) 262-0872 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Aug 16, 2021, Apr 14, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Jordan R Wilson Licsw NPPES

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

JORDAN R WILSON LICSW (NPI 1346898111) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (122541) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346898111

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJORDAN R WILSONCredential: LICSW

Location Address1340 BOYLSTON STBoston, MA 02215-4302

Mailing Address1340 Boylston StBoston, MA 02215-4302 · (617) 247-7555 · Fax (617) 262-0872

Phone(617) 247-7555

Fax(617) 262-0872

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 26, 2019

Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1346898111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MA · 122541✔ Licensed in AZ · LCSW-18006

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.

1340 BOYLSTON ST, Boston, MA 02215

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Other Names 1

Former Name (1)Jordan Nejaime

Secondary Practice Location 1

Location 14909 E McDowell RdPhoenix, AZ 85008-4227 · Phone (602) 685-6000 · Fax (602) 275-1355

Accepted Insurance

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

Jordan R Wilson Licsw 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 ID4880024744

PECOS Enrollment IDI20200417000936

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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 $63.72 – $189.86

Typical copayment $0.00 (range $15.93 – $47.46)

Most-billed visit code NA

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 20

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

FENWAY COMMUNITY HEALTH CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))