CHARRISSE LEIANA WILSON LCSW
NPI 1639853013
Social Worker - Clinical in Bloomsburg, PA

Q: What is Charrisse Wilson's NPI number?

The NPI number for Charrisse Wilson is 1639853013. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Charrisse 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 Charrisse Wilson was last updated on June 14, 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.

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment

211 E 1ST ST, BLOOMSBURG, PA 17815(718) 506-1115 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charrisse Leiana Wilson Lcsw NPPES

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

CHARRISSE LEIANA WILSON LCSW (NPI 1639853013) is an individual clinical provider in Bloomsburg, Pennsylvania and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1639853013

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHARRISSE LEIANA WILSONCredential: LCSW

Location Address211 E 1ST STBloomsburg, PA 17815-1405

Mailing Address27 Randolph RdHowell, NJ 07731-8611 · (718) 506-1115

Phone(718) 506-1115

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1639853013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

211 E 1ST ST, Bloomsburg, PA 17815

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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 and accepts Medicare assignment

Charrisse Leiana Wilson Lcsw 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 ID7810356557

PECOS Enrollment IDI20230628004494

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

131 services30 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

67 services21 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17815 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 $54.64 – $166.87

Typical copayment $0.00 (range $13.66 – $41.71)

Most-billed visit code NA

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 6

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

LEAH C THOMAS SLP

Speech-Language Pathologist