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MS. JODIE C WILSON LCSW-R
NPI 1366610735
Social Worker - Clinical in Liverpool, NY

Active since February 19, 2008Opted out of Medicare · through Apr 1, 2027
407 TULIP STREET, LIVERPOOL, NY 13088(315) 657-3111(315) 451-5557 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jodie C Wilson Lcsw-r NPPES

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

MS. JODIE C WILSON LCSW-R (NPI 1366610735) is an individual clinical provider in Liverpool, New York, licensed in New York (079038) and active in the NPI registry since February 2008. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366610735
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JODIE C WILSONCredential: LCSW-R
Location Address407 TULIP STREETLiverpool, NY 13088-4962
Mailing Address407 Tulip StLiverpool, NY 13088-4962 · (315) 657-3111 · Fax (315) 451-5557
Phone(315) 657-3111
Fax(315) 451-5557
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 19, 2008
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1366610735 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 NY · 079038
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.
407 TULIP STREET, Liverpool, NY 13088
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jodie C Wilson Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Jodie Wilson's NPI number?

The NPI number for Jodie Wilson is 1366610735. It was assigned to this individual provider in the NPPES registry on February 19, 2008.

Where is Jodie Wilson located?

Jodie Wilson practices at 407 Tulip Street, Liverpool, NY 13088. The listed phone number is (315) 657-3111.

What is Jodie Wilson's specialty?

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

Is Jodie Wilson enrolled in Medicare?

No. Jodie Wilson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jodie Wilson was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.