Active NPI
Veronica Lee Wilbur, LISW
- Clinical Social Worker
- Worthington, OH
National Provider Identifier
1740843259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2203454
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| I.2203454 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Psychological Services LLC | Past | Accepting new patients | |
| Live Wellness Center, LTD. | Clinical | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Addiction (Substance Use Disorder) Psychologist
- Heath, OH
- NPI 1033515333
-
- Clinical Social Worker
- Columbus, OH
- NPI 1417391053
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.