Active NPI
Joshua A Wilson, MSW, LCSW
- Clinical Social Worker
- Lexington, KY
National Provider Identifier
1972659803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 257064
- Practice address
- 870 Corporate Dr Ste 301
Lexington, KY 40503-5419 - Phone
- (859) 242-5201
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 257064 | KY | Primary |
Addresses
Primary practice location
870 Corporate Dr Ste 301
Lexington, KY 40503-5419
Mailing address
825 Tiffanie CT
Lexington, KY 40514-4082
Phone (859) 338-1717
Other practice location 1
424 Lewis Hargett Cir Ste B100
Lexington, KY 40503-3683
Phone (859) 475-4305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257064 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Makers, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lexington, KY
- NPI 1346053030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1972659803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 TIFFANIE CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405144082",
"telephone_number": "859-338-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 CORPORATE DR STE 301",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035419",
"telephone_number": "859-242-5201"
}
],
"practiceLocations": [
{
"address_1": "424 Lewis Hargett Cir Ste B100",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405033683",
"country_code": "US",
"telephone_number": "859-475-4305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "JOSHUA",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "257064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30615058",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.