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

Jed Wilson

Individual provider Clinical Social Worker · NPI 1366831117

Jed Wilson is a Clinical Social Worker in Conway, New Hampshire. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in New Hampshire.

Years since qualifying
12
Licensed in
NH
In the registry since
2015

Practice location Address checks out

90 Odell Hill Rd
Conway, NH 03818-4401
Phone: (603) 730-9154
Fax: (603) 730-9154
Show map & directions

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

Additional practice locations (1)

  • 600 Main St, Fryeburg, ME 04037-1127 — (207) 209-4477

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2021 (NH)

Record details

NPI number1366831117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2015
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing addressPo Box 111, Center Conway, NH 03813-0111

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Conway