JESSICA PLOURDE WILSON (MSW LCSW) – Clinical Social Worker, NPI 1104931997
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,103 CLINICAL SOCIAL WORKER in ME
Provider Addresses for JESSICA PLOURDE WILSON (MSW LCSW)
10 Carter St
Eagle Lake, ME 047393060
Phone: (207) 444-5973
Fax: (207) 444-5520
Type: Location
12 BOLDUC AVE
FORT KENT, ME 047431602
Phone: (207) 834-3971
Fax: (207) 834-3837
Type: Location
43, Hatch Drive, Caribou, Aroostook County, Maine, 04736, United States
PO BOX 1018
CARIBOU, ME 047362161
Phone: (207) 498-6431
Fax: (207) 492-3181
Type: Mailing
24, Sweden Street, Caribou, Aroostook County, Maine, 04736, United States
CARIBOU, ME 047362127
Phone: (207) 493-3361
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: 2004-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040928000770 | I | Clinical Social Worker | ME | TBD |
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.
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 04739)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ME | |
| Family Practice | ME | |
| Family Practice | ME | |
| C H I R O P R A C T I C | NH | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| C H I R O P R A C T I C | ME | |
| C H I R O P R A C T I C | ME | |
| Physician Assistant | ME | |
| Clinical Social Worker | ME |
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