JANUARI WILSON (LCSW) – Clinical Social Worker, NPI 1366132052

JANUARI WILSON (LCSW) is a healthcare provider. based in Homewood, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149015573 (IL). The NPI Number for JANUARI WILSON (LCSW) is 1366132052

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JANUARI WILSON (LCSW)
NPI
1366132052
Phone
(708) 439-6453
Address
18544 LYN CT
Enumeration Date
8 May 2023
Last Update Date
8 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082158400
Graduation Year
2004 (22 years ago)
PAC ID
6507223401
Group Practice PAC ID
6507762580
Professional Enrollment ID
I20230608001170
Address ID
IL605254682CO6502XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JANUARI WILSON (LCSW)

  • 18544 LYN CT

    HOMEWOOD, IL 604303816

    Phone: (708) 439-6453

    Type: Mailing

  • 6502 JOLIET RD FL 2

    COUNTRYSIDE, IL 605254613

    Phone: (708) 251-8400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230608001170IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507762580View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JANUARI WILSON (LCSW)?
JANUARI WILSON (LCSW) — NPI 1366132052 — is the standard way to identify this listing.
Can I rely on JANUARI WILSON (LCSW) being an active provider?
As of the registry snapshot, JANUARI WILSON (LCSW) is marked active.
What taxonomy line describes JANUARI WILSON (LCSW)?
For research purposes, treat JANUARI WILSON (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does JANUARI WILSON (LCSW) list a practice location?
Patients near Homewood, Illinois may find JANUARI WILSON (LCSW) in results; validate coverage separately.
Why does JANUARI WILSON (LCSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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