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COURTNEY WILSON LISW
NPI 1538808969
Social Worker - Clinical in Boardman, OH

Active since June 02, 2022PECOS Enrolled
67 MILL CREEK DR, BOARDMAN, OH 44512(330) 429-1528 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Courtney Wilson Lisw NPPES

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

COURTNEY WILSON LISW (NPI 1538808969) is an individual clinical provider in Boardman, Ohio, licensed in Ohio (I.2203668) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538808969
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOURTNEY WILSONCredential: LISW
Location Address67 MILL CREEK DRBoardman, OH 44512-1550
Mailing Address67 Mill Creek DrBoardman, OH 44512-1550 · (330) 429-1528
Phone(330) 429-1528
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 2, 2022
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1538808969 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 OH · I.2203668
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.
67 MILL CREEK DR, Boardman, OH 44512
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID244709624
PECOS Enrollment IDI20260514003001
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 44512 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Courtney Wilson's NPI number?

The NPI number for Courtney Wilson is 1538808969. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Courtney Wilson located?

Courtney Wilson practices at 67 Mill Creek Dr, Boardman, OH 44512. The listed phone number is (330) 429-1528.

What is Courtney Wilson's specialty?

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

Is Courtney Wilson enrolled in Medicare?

Yes. Courtney Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Wilson was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.