Debra A. Wiles, LCSW
NPI 1790004364ActiveIndividual· Social Worker, Clinical· St Augustine, FL
Social Worker, Clinical (LCSW) in St Augustine, Florida, licensed in FL, with an NPI issued in May 2010. Medicare paid $12,654 for services to 12 patients in 2024.
Overview
| NPI | 1790004364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | May 21, 2010 |
| Last updated in NPPES | May 17, 2024 |
| Certified by provider | May 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW 3149 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 160 across 4 procedure codes |
| Paid by Medicare | $12,654 |
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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