Jennifer Wilson Lcswc Lcadc Llc - Medicare Mental Health Clinic in Owings Mills, MD

Jennifer Wilson Lcswc Lcadc Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Owings Mills, Maryland. The current practice location for Jennifer Wilson Lcswc Lcadc Llc is 9199 Reisterstown Rd Ste 202b, Owings Mills, Maryland. For appointments, you can reach them via phone at (410) 868-0001. The mailing address for Jennifer Wilson Lcswc Lcadc Llc is 16528 Falls Rd, Upperco, Maryland and phone number is (410) 868-0001.

Jennifer Wilson Lcswc Lcadc Llc is licensed to practice in Maryland (license number 18028). The clinic also participates in the medicare program and its NPI number is 1033691407. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 868-0001.

Contact Information

Jennifer Wilson Lcswc Lcadc Llc
9199 Reisterstown Rd Ste 202b
Owings Mills
MD 21117-4579
(410) 868-0001
Not Available

Mental Health Clinic Profile

Full NameJennifer Wilson Lcswc Lcadc Llc
SpecialitySocial Worker
Location9199 Reisterstown Rd Ste 202b, Owings Mills, Maryland
Authorized Official Name and PositionJennifer W Wilson (OWNER)
Authorized Official Contact4108680001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Wilson Lcswc Lcadc Llc
16528 Falls Rd
Upperco
MD 21155-9483

Ph: (410) 868-0001
Jennifer Wilson Lcswc Lcadc Llc
9199 Reisterstown Rd Ste 202b
Owings Mills
MD 21117-4579

Ph: (410) 868-0001

NPI Details:

NPI Number1033691407
Provider Enumeration Date09/03/2018
Last Update Date03/03/2023
Certification Date03/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3870839590
Medicare Enrollment IDO20190116002303

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Medical Identifiers

Medical identifiers for Jennifer Wilson Lcswc Lcadc Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033691407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCA2105 (Maryland)Secondary
101YP2500XCounselor - Professional (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical 18028 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jennifer Wilson Lcswc Lcadc Llc acts as a billing entity for following providers:
Provider NameJennifer W Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093120677
PECOS PAC ID: 2567736812
Enrollment ID: I20170925003135

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Provider NameKimberly Anne Toepfer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407485907
PECOS PAC ID: 6305277567
Enrollment ID: I20200504001796

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Provider NameMegan P Robison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326606880
PECOS PAC ID: 0941692982
Enrollment ID: I20220125000094

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Social Worker in Owings Mills, MD

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Phone: 410-559-6121    
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Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9199 Reisterstown Rd Ste 202b, Owings Mills, MD 21117
Phone: 410-929-1119    
Embrace Your Light Counseling And Wellness, Llc
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Medicare: Not Enrolled in Medicare
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Phone: 443-267-6204    
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Medicare: Not Enrolled in Medicare
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