JED WILSON
NPI 1366831117
Social Worker - Clinical in Conway, NH

Q: What is Jed Wilson's NPI number?

The NPI number for Jed Wilson is 1366831117. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Q: What is Jed 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 Jed Wilson was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 January 16, 2015PECOS Enrolled

90 ODELL HILL RD, CONWAY, NH 03818(603) 730-9154(603) 730-9154 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Mar 12, 2020 (2 updates tracked since 2020).

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About Jed Wilson NPPES

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

JED WILSON (NPI 1366831117) is an individual clinical provider in Conway, New Hampshire, licensed in New Hampshire (2021) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fryeburg, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366831117

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJED WILSON

Location Address90 ODELL HILL RDConway, NH 03818-4401

Mailing AddressPo Box 111Center Conway, NH 03813-0111 · (603) 730-9154 · Fax (603) 730-9154

Phone(603) 730-9154

Fax(603) 730-9154

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 16, 2015

Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1366831117 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 NH · 2021

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.

90 ODELL HILL RD, Conway, NH 03818

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Secondary Practice Location 1

Location 1600 Main StFryeburg, ME 04037-1127 · Phone (207) 209-4477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Providence Health Plan, WellSense 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 (PECOS)

Jed Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507116100

PECOS Enrollment IDI20180831001001, I20241203003886

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 03818 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 $57.75 – $174.26

Typical copayment $0.00 (range $14.43 – $43.56)

Most-billed visit code NA

Established Patient

$71.85 typical visit price

range $18.70 – $142.15

Typical copayment $17.96 (range $4.67 – $35.53)

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 9

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

GRETCHEN DAVIDSON LICSW

Social Worker (Clinical)