Individual provider Active NPI

Veronica Lee Wilbur, LISW

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1740843259
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203454 Issued in OH
Practice address
1159 Ridgedale Dr E
Worthington, OH 43085-3217
Phone
(614) 467-0724
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2203454 OH Primary
Clinical Social Worker 1041C0700X S.1802210 OH

Addresses

Primary practice location

1159 Ridgedale Dr E
Worthington, OH 43085-3217

Mailing address

1159 Ridgedale Dr E
Worthington, OH 43085-3217
Phone (614) 467-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 17, 2024 through Feb 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203454OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Psychological Services LLC Past Accepting new patients
Live Wellness Center, LTD. Clinical PastSince Oct 23, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: veronica.wilbur.p5@direct.verawholehealth.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1740843259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 RIDGEDALE DR E",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853217",
            "telephone_number": "614-467-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 RIDGEDALE DR E",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853217",
            "telephone_number": "614-467-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "VERONICA",
        "middle_name": "LEE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203454",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1802210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.