Jillian K Winklevoss, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022155 Issued in PA

Practice address

143 E Wallace Ave
New Castle, PA 16101-2453

Phone

(724) 654-9555

Fax

(724) 498-0976

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Group practices

Community Counseling Center of Mercer County 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grove City, PA
  • NPI 1972727048

  PA

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA

  Medicare reassignment
• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermitage, PA
  • NPI 1023070729
  NPD
• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermitage, PA
  • NPI 1770707846
  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1790276129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E WALLACE AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012453",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E WALLACE AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012453",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2370 N Hermitage Rd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161486678",
            "country_code": "US",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLEVOSS",
        "first_name": "JILLIAN",
        "middle_name": "K",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133876",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700064",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne E Wilson, LPC
• Linda Wilson, RN
• Steven Wilson, M.D.
• Donald Edward Wilt, PT
• Gabriella Lynn Wilt, MPT
• Charlene Ann Winski, LPC
• Jake W Winter, BS
• Elizabeth Wirth
• Connie Wise
• Holly L Wissner, OTRL

• All providers in New Castle, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.