DAVA R WILSON CSW
NPI 1619430444
Social Worker - Clinical in Bowling Green, KY

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
1143 FAIRWAY ST STE 320, BOWLING GREEN, KY 42103(270) 904-6307(270) 904-6314 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dava R Wilson Csw NPPES

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

DAVA R WILSON CSW (NPI 1619430444) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (253861) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619430444
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDAVA R WILSONCredential: CSW
Location Address1143 FAIRWAY ST STE 320Bowling Green, KY 42103-2452
Mailing Address10100 Elida RdDelphos, OH 45833-9058 · (419) 695-8010 · Fax (419) 695-0004
Fax(270) 904-6314
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 9, 2019
✔ NPI 1619430444 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 KY · 253861
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.
1143 FAIRWAY ST STE 320, Bowling Green, KY 42103

Other Names 1

Former Name (1)Dava Whitaker

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dava R Wilson Csw 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 ID5597124941
PECOS Enrollment IDI20230704000306
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.

Medicare Billing Reassignment

Medicare enrollment records show Dava Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42103 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 Dava Wilson's NPI number?

The NPI number for Dava Wilson is 1619430444. It was assigned to this individual provider in the NPPES registry on April 9, 2019. The provider is also known as Dava Whitaker.

Where is Dava Wilson located?

Dava Wilson practices at 1143 Fairway St Ste 320, Bowling Green, KY 42103. The listed phone number is (270) 904-6307.

What is Dava Wilson's specialty?

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

Is Dava Wilson enrolled in Medicare?

Yes. Dava Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dava Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dava Wilson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Dava Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dava Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and UnitedHealthcare list Dava Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dava Wilson was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.