JEFFREY THOMAS WYLIE LCSW
NPI 1811505548
Social Worker - Clinical in Paducah, KY

Q: What is Jeffrey Wylie's NPI number?

The NPI number for Jeffrey Wylie is 1811505548. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Q: What is Jeffrey Wylie'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 Jeffrey Wylie was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 July 20, 2020PECOS EnrolledAccepts Medicare Assignment

2204 KENTUCKY AVE, PADUCAH, KY 42003(270) 777-4490(866) 441-1083 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Nov 7, 2023, Jul 20, 2020 (3 updates tracked since 2020).

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About Jeffrey Thomas Wylie Lcsw NPPES

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

JEFFREY THOMAS WYLIE LCSW (NPI 1811505548) is an individual clinical provider in Paducah, Kentucky, licensed in Kentucky (922) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1811505548

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEFFREY THOMAS WYLIECredential: LCSW

Location Address2204 KENTUCKY AVEPaducah, KY 42003-3242

Mailing Address121 Byron DrPaducah, KY 42003-0963 · (270) 556-8715 · Fax (866) 441-1083

Phone(270) 777-4490

Fax(866) 441-1083

Sole ProprietorYes

Medical School CMSOtherGraduated 1989

Enumeration DateJuly 20, 2020

Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1811505548 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 · 922

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.

2204 KENTUCKY AVE, Paducah, KY 42003

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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

Jeffrey Thomas Wylie 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 ID5294152781

PECOS Enrollment IDI20200828001624

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 42003 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.

Other Providers at the Same Location NPPES 17

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

WYNN LANCASTER-BROWN MS

Psychologist (Clinical)