Vevelyn Peterson Wilson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4081C Issued in AL

Practice address

PO Box 235
Gardendale, AL 35071-0235

Phone

(205) 639-9039

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Vevelyn Peterson Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Transformative Grief Counseling, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardendale, AL
  • NPI 1700629755

  AL

  Medicare reassignment NPD Authorized official
• Premier Mental Health Services LLC

  • Community/Behavioral Health Agency
  • Birmingham, AL
  • NPI 1043766009

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831947746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350710235",
            "telephone_number": "205-693-9039",
            "fax_number": "205-631-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350710235",
            "telephone_number": "205-639-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VEVELYN",
        "middle_name": "PETERSON",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4081C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEVELYN",
            "last_name": "WILSON",
            "middle_name": "PETERSON",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Phillip Terrell Williams, LPC
• Shanquela Williams, PHD, LICSW
• Leanedra K Willis-Lewis, LICSW
• Brian Joseph Wilson, NP
• Ritchie Lynn Wilson, D.M.D.
• Lisa Marie Woods, LPTA
• Crystal Wray, DPT
• Linda D Wright, MS, CCC-SLP
• Rhonda Wynne
• Christopher Peyton Yarbrough Jr., O.D.

• All providers in Gardendale, AL
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.