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ALI WILBURN LCSW LLC
NPI 1609256973
Social Worker - Clinical in Malvern, PA

Active since June 02, 2015
5 MYSTIC LN, MALVERN, PA 19355(610) 716-3979 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ali Wilburn Lcsw Llc NPPES

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

ALI WILBURN LCSW LLC (NPI 1609256973) is a healthcare organization registered as a clinical in Malvern, Pennsylvania and active in the NPI registry since June 2015. The organization lists Alexis True Wilburn, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1609256973
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameALI WILBURN LCSW LLC
Location Address5 MYSTIC LNMalvern, PA 19355-1942
Mailing Address5 Mystic LnMalvern, PA 19355-1942 · (610) 716-3979
Phone(610) 716-3979
Organization SubpartNo
Authorized OfficialAlexis True WilburnPsychotherapist · (610) 716-3979
Enumeration DateJune 2, 2015
✔ NPI 1609256973 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 PA · CW015351
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.
5 MYSTIC LN, Malvern, PA 19355
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ali Wilburn Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ali Wilburn Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexis Wilburn
Clinical Social Worker
NPI 1093865602
18 MYSTIC LN
Malvern, PA 19355
(610) 716-3979
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ali Wilburn Lcsw LLC's NPI number?

The NPI number for Ali Wilburn Lcsw LLC is 1609256973. It was assigned to this organization in the NPPES registry on June 2, 2015.

Where is Ali Wilburn Lcsw LLC located?

Ali Wilburn Lcsw LLC is located at 5 Mystic Ln, Malvern, PA 19355. The listed phone number is (610) 716-3979.

What is Ali Wilburn Lcsw LLC's specialty?

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

Is Ali Wilburn Lcsw LLC enrolled in Medicare?

Yes. Ali Wilburn Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ali Wilburn Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Ali Wilburn Lcsw LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ali Wilburn Lcsw LLC was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.