MR. DANIEL JAMES WILSON (MSW, LCSW) – Clinical Social Worker, NPI 1073897575

MR. DANIEL JAMES WILSON (MSW, LCSW) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 44SC05622700 (NJ). The NPI Number for MR. DANIEL JAMES WILSON (MSW, LCSW) is 1073897575

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANIEL JAMES WILSON (MSW, LCSW)
NPI
1073897575
Phone
Not provided
Address
1924 S 13TH ST
Enumeration Date
3 October 2011
Last Update Date
14 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8563611123
Graduation Year
2005 (21 years ago)
PAC ID
7214244599
Group Practice PAC ID
2264503937
Professional Enrollment ID
I20150918001099
Address ID
NJ081021526CA400XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,753 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for MR. DANIEL JAMES WILSON (MSW, LCSW)

  • 1924 S 13TH ST

    PHILADELPHIA, PA 191482203

    Phone:

    Type: Mailing

  • 53 HADDONFIELD RD

    SUITE 316

    CHERRY HILL, NJ 080024802

    Phone: (856) 361-2710

    Type: Location

  • 410 SMITH ST

    NORTH WALES, PA 194543033

    Phone:

    Type: Mailing

  • 400 MARKET ST

    CAMDEN, NJ 081021526

    Phone: (856) 361-2700

    Fax: (856) 541-4139

    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: 2015-09-18

PECOS data refreshed: 2026-06-15

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
I20150918001099IClinical Social WorkerNJTBD

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 19148)

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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: 2264503937View full group profile
NameSpecialtyState
-NJ
Mental Health CounselorNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ
Nurse PractitionerNJ
P S Y C H I A T R YNJ
P S Y C H I A T R YNJ
-FL
Clinical Social WorkerNJ
-NJ

Reviews

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Frequently asked questions

Can I verify MR. DANIEL JAMES WILSON (MSW, LCSW) with an NPI only?
You can start verification with NPI 1073897575 for MR. DANIEL JAMES WILSON (MSW, LCSW), then check state licensing separately.
Does CMS list MR. DANIEL JAMES WILSON (MSW, LCSW) as active?
Yes — MR. DANIEL JAMES WILSON (MSW, LCSW) is active in the NPI listing used on this page.
What is MR. DANIEL JAMES WILSON (MSW, LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for MR. DANIEL JAMES WILSON (MSW, LCSW) here. Clinical services aligned with this taxonomy classification.
Where is MR. DANIEL JAMES WILSON (MSW, LCSW) based?
MR. DANIEL JAMES WILSON (MSW, LCSW) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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