IndividualActive
Jimmy Wilson, PH.D, LMSW
NPI 1174202188 · Social Worker · Landover, MD
Jimmy Wilson, PH.D, LMSW is a Social Worker provider in Landover, MD (NPI 1174202188).
Provider details
- NPI number
- 1174202188
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- PH.D, LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 26944 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1802 Brightseat Rd Ste 300
Landover, MD 20785-4244
Phone: (240) 249-0989
Fax: (240) 256-8887
Street-level locationGet directions
Mailing address
13413 Lucy Ct
Brandywine, MD 20613-7852
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2023-07-17
- Certified
- 2023-07-17
Frequently asked questions
- What is Jimmy Wilson's NPI number?
- Jimmy Wilson's National Provider Identifier (NPI) is 1174202188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Wilson's specialty?
- Jimmy Wilson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Jimmy Wilson located?
- Jimmy Wilson's practice location on file with NPPES is 1802 Brightseat Rd Ste 300, Landover, MD 20785-4244.
- What is Jimmy Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Wilson is (240) 249-0989.
- Is Jimmy Wilson's NPI active?
- Yes — Jimmy Wilson's NPI (1174202188) is active in the NPPES registry as of the last update on 2023-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.