MR. CHERYL BUSBICE WILSON (L.C.S.W.) – Clinical Social Worker, NPI 1457407355

MR. CHERYL BUSBICE WILSON (L.C.S.W.) is a healthcare provider. based in Nacogdoches, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.C.S.W.. They hold a License No. 02215 (TX). The NPI Number for MR. CHERYL BUSBICE WILSON (L.C.S.W.) is 1457407355

Main info

Female
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHERYL BUSBICE WILSON (L.C.S.W.)
NPI
1457407355
Phone
(936) 569-6562
Address
3516 NE STALLINGS DR
Enumeration Date
25 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9365696562
Graduation Year
1974 (52 years ago)
PAC ID
1850422957
Professional Enrollment ID
I20100707000308
Address ID
TX759658732NA3516XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

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Provider Addresses for MR. CHERYL BUSBICE WILSON (L.C.S.W.)

  • 3516, Northeast Stallings Drive, Nacogdoches, Nacogdoches County, Texas, 75965, United States

    NACOGDOCHES, TX 759658732

    Phone: (936) 569-6562

    Type: Location

  • PO BOX 630325

    NACOGDOCHES, TX 759630325

    Phone: (936) 569-6562

    Type: Mailing

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: 2010-07-07

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
I20100707000308IClinical Social WorkerTXTBD

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
90837Psychotherapy, 1 hour12422$0
90791Psychiatric diagnostic evaluation1414$0
View full utilization report →

Insurance plans in this area (ZIP 75965)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. CHERYL BUSBICE WILSON (L.C.S.W.)'s NPI?
Yes. MR. CHERYL BUSBICE WILSON (L.C.S.W.) is listed with NPI 1457407355 in the public NPI dataset.
Does the file indicate MR. CHERYL BUSBICE WILSON (L.C.S.W.) is practicing under active NPI?
Directory data currently reports MR. CHERYL BUSBICE WILSON (L.C.S.W.) as active.
What healthcare role does MR. CHERYL BUSBICE WILSON (L.C.S.W.) hold?
Scheduling teams often label MR. CHERYL BUSBICE WILSON (L.C.S.W.) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does MR. CHERYL BUSBICE WILSON (L.C.S.W.) serve?
MR. CHERYL BUSBICE WILSON (L.C.S.W.)'s listing highlights Nacogdoches, Texas; more addresses can appear in NPPES.
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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