Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Wilson, LISW

Individual provider Clinical Social Worker · NPI 1538808969

Courtney Wilson, LISW is a Clinical Social Worker in Boardman, Ohio. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2022
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

67 Mill Creek Dr
Boardman, OH 44512-1550
Phone: (330) 429-1528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2203668 (OH)

Record details

NPI number1538808969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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