Donna Jane Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3839 Issued in KY

Practice address

321 W Stephen Foster Ave
Bardstown, KY 40004-1419

Phone

(270) 872-6213

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donna J Wilson, LCSW, PLLC

  • Clinical Social Worker
  • Whitesburg, KY
  • NPI 1871990598
  NPD Authorized official
• Communicare Inc

  • Community/Behavioral Health Agency
  • Springfield, KY
  • NPI 1083751424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1548576903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PICARDY CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013132",
            "telephone_number": "270-872-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W STEPHEN FOSTER AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041419",
            "telephone_number": "270-872-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Piedmont Dr",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587668",
            "country_code": "US",
            "telephone_number": "727-538-4208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Picardy Ct",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427013132",
            "country_code": "US",
            "telephone_number": "727-538-4208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DONNA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100315100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Alexander Williams, MD
• Ginger Nichole Williams, APRN
• Kassie Williams, CSW
• Patrick Williams, M.D.
• Amber Wilson, APRN
• Millicent Wimpsett, PHARM.D.
• Maria Cambron Wimsett, LPCA, NCC
• Shannon Michelle Woods, APRN, FNP
• Brittany Michelle Woodward
• David Thomas Woody, O.D.

• Clinical Social Worker in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.