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

MS. Jennifer Wentworth Wilson, LCADC, LCSWC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093120677

MS. Jennifer Wentworth Wilson, LCADC, LCSWC is a Clinical Social Worker in Upperco, Maryland. Qualified in 2012, 14 years ago. Practices with Kandi Healthcare Services, a 5-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2014
Specialties on file
2

Practice location Address checks out

16528 Falls Rd
Upperco, MD 21155-9483
Phone: (410) 868-0001
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 18028 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCA2105 (MD)

Record details

NPI number1093120677
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCADC , LCSWC
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kandi Healthcare Services — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount