MRS. DIANE MARIE WILSON (MSW) – Clinical Social Worker, NPI 1184811564

MRS. DIANE MARIE WILSON (MSW) is a healthcare provider. based in Moore, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. The NPI Number for MRS. DIANE MARIE WILSON (MSW) is 1184811564

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DIANE MARIE WILSON (MSW)
NPI
1184811564
Phone
(405) 343-0321
Address
4401 MACKENZIE DR
Enumeration Date
28 September 2007
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056230509
Graduation Year
2021 (5 years ago)
PAC ID
3870948003
Group Practice PAC ID
6204730856
Professional Enrollment ID
I20231009001704
Address ID
OK730259512ED508XXCTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:18State licenses:0Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for MRS. DIANE MARIE WILSON (MSW)

  • 4401 MACKENZIE DR

    MOORE, OK 731601263

    Phone: (405) 343-0321

    Type: Mailing

  • 448 36TH AVE NW STE 101

    NORMAN, OK 730724743

    Phone: (405) 573-9905

    Type: Location

  • Northwest 50th Street, Oklahoma City, Oklahoma County, Oklahoma, 73008, United States

    OKLAHOMA CITY, OK 731122212

    Phone: (405) 858-2700

    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: 2023-10-09

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
I20231009001704IClinical Social WorkerOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes66779$0
90785Psychiatric services complicated by communication factor63169$0
90832Psychotherapy, 30 minutes17352$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 6204730856View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Clinical Social WorkerOK
-OK
Physician AssistantOK
Clinical Social WorkerOK
-AZ
Mental Health CounselorOK
Marriage And Family TherapistOK
-KS
-OK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. DIANE MARIE WILSON (MSW)?
MRS. DIANE MARIE WILSON (MSW) — NPI 1184811564 — is the standard way to identify this listing.
Is MRS. DIANE MARIE WILSON (MSW) still practicing?
MRS. DIANE MARIE WILSON (MSW) is currently listed as active in the public NPI registry.
What is MRS. DIANE MARIE WILSON (MSW)'s specialty?
The listing groups MRS. DIANE MARIE WILSON (MSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. DIANE MARIE WILSON (MSW)?
MRS. DIANE MARIE WILSON (MSW)'s geographic hint is Moore, Oklahoma in our summary view.
Is the information about MRS. DIANE MARIE WILSON (MSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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