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TWANESHA NICOLE WILCOX
NPI 1639791742
Psychologist - Clinical in Baltimore, MD

Active since May 12, 2020PECOS Enrolled
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-1870 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Twanesha Nicole Wilcox NPPES

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

TWANESHA NICOLE WILCOX (NPI 1639791742) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (06991) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639791742
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTWANESHA NICOLE WILCOX
Location Address707 N BROADWAYBaltimore, MD 21205-1832
Mailing Address1741 Ashland AveBaltimore, MD 21205-1531 · (443) 923-1870
Phone(443) 923-1870
Sole ProprietorNo
Enumeration DateMay 12, 2020
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1639791742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 06991
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
707 N BROADWAY, Baltimore, MD 21205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Twanesha Nicole Wilcox is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Twanesha Wilcox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennedy Krieger Associates
Same address
Pediatrics
707 N BROADWAY
Baltimore, MD 21205
  • Reassigned Medicare billing, Maryland enrollment
  • 352 clinicians in this Medicare group
NPI 1871515783 (443) 923-1070

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 21205 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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 20

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

MRS. CHRISTINE ROCHE PTA
Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289
RHONDA G STALLINGS PT
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
DR. STEPHANIE A LEE PSY.D.
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9400
ANNA DITKOFF DORSEY LGSW
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
TIFFANY WEN-TING LIN PSY.D
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
MS. BRIDGET GIBBONS M.A.
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Baltimore City (443) 923-9532
EMILY KATHRYN DRESCHEL M.ED., CCC-SLP
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-1872
SABRINA HARRISON DPT
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289

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 Twanesha Wilcox's NPI number?

The NPI number for Twanesha Wilcox is 1639791742. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Twanesha Wilcox located?

Twanesha Wilcox practices at 707 N Broadway, Baltimore, MD 21205. The listed phone number is (443) 923-1870.

What is Twanesha Wilcox's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Twanesha Wilcox enrolled in Medicare?

Yes. Twanesha Wilcox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Twanesha Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Twanesha Wilcox reassigns Medicare benefits to Kennedy Krieger Associates (Baltimore, MD). 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 Twanesha Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Twanesha Wilcox was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.