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

Dr. Courtney Jermaine Wilson, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1114658176

Dr. Courtney Jermaine Wilson, PHD, LCSW is a Clinical Social Worker in Sunrise, Florida. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9346 NW 49th Pl
Sunrise, FL 33351-5261
Phone: (646) 667-3727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19793 (FL)

Record details

NPI number1114658176
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedJune 21, 2022
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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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