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Active NPI 1245747757 Individual Practitioner Male Practitioner

Jeremy Shane Wilson , CSW, LSW

Social Worker • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeremy Wilson, CSW, LSW is a certified Social Worker practicing in Cincinnati, OH. With approximately 17 years of clinical experience since completing medical education in 2009, Jeremy Wilson delivers high-quality medical care to the local community at 5400 EDALBERT DR.

Jeremy Wilson is affiliated with Sondermind Provider Network Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5400 Edalbert Dr

Cincinnati, OH 452397604

Telephone 8595365808
Fax 5137415686
Associated Practice Facility / Clinic
🏢 Veronica R. Berning Facility NPI 1992124580

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Cincinnati, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +4.9 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
1215 Specialists

Practicing in Cincinnati, OH (11526 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (17 Years) 17 Yrs
Cincinnati Specialty Average (12.1 Years) 12.1 Yrs

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.1000131

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Hospital & Practice Group Affiliations

Sondermind Provider Network Llc

312 S 4th St, Louisville, KY 402023046

Phone: 8666300966

Sondermind Provider Network Llc

20 S 3rd St, Columbus, OH 432154206

Phone: 8666300966

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Meghan Berndsen , BA

Case Manager/Care Coordinator

NPI 1003157074

Bachelor of Arts

Jacqueline St. Onge

Counselor - School

NPI 1033634381
Donald Kucheyii , MSW INTERN

Social Worker - Clinical

NPI 1043453384

MSWINTERN

Tarin Cook

Counselor - Mental Health

NPI 1043669443
Logan Shinkle

Case Manager/Care Coordinator

NPI 1053089508
Diane Young , LISW-S

Social Worker - Clinical

NPI 1053657130

LISWS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2018

Registered at 5400 EDALBERT DR, CINCINNATI, OH 452397604 (Tel: 8595365808)

📍
Updated Business Mailing Address January 05, 2018

Registered at 5400 EDALBERT DR, CINCINNATI, OH 452397604 (Tel: 5137413100)

👤
Provider Name / Credentials Updated January 05, 2018

Recorded as JEREMY WILSON, CSW, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2018

Social Worker (License #S.1000131 in OH)

🟢
Initial NPI Registration & Enumeration January 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245747757
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2018
Last Update: January 05, 2018
Sole Proprietor: No

Mailing Address

5400 Edalbert Dr

Cincinnati, OH 452397604

Phone: 5137413100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.