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Andrea Dawn Wilson , BACHELOR OF ARTS

Case Manager/Care Coordinator β€’ Salem, OH

Active NPI 1457852675 Individual Practitioner Female Practitioner
Practice location in NPPES

2400 Southeast Blvd Ste B, Salem, Oh 44460
Salem, OH 44460

Call 3307791897 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2400 Southeast Blvd Ste B, Salem, Oh 44460

Salem, OH 44460

Telephone 3307791897
Fax 3307798225

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Salem and Ohio

34 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Salem, OH (36,369 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Salem

0% of these 34 clinicians have the CMS telehealth indicator.

0% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-20
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OH 0279926

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OH CDCAPRE.195140
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 20, 2026

Registered at 2400 SOUTHEAST BLVD STE B, SALEM, OH 44460, SALEM, OH 44460 (Tel: 3307791897)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2026

Counselor (license number reported to NPPES: OH CDCAPRE.195140)

πŸ“
Updated Practice Location March 18, 2024

Registered at 2421 13TH ST NW, CANTON, OH 447083116 (Tel: 3304526000)

πŸ“
Updated Business Mailing Address March 18, 2024

Registered at 137 BELLFLOWER AVE NW, CANTON, OH 447085603 (Tel: 3303711695)

πŸ‘€
Provider Name / Credentials Updated March 18, 2024

Recorded as ANDREA WILSON, BACHELOR OF ARTS

βœ…
NPI Profile Active February 22, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 22, 2018

Registered at 1410 W STATE ST, ALLIANCE, OH 446013615 (Tel: 3308236932)

πŸ“
Business Mailing Address (Initial Record) February 22, 2018

Registered at 1410 W STATE ST, ALLIANCE, OH 446013615 (Tel: 3308236932)

πŸ‘€
Provider Name / Credentials (Initial Record) February 22, 2018

Recorded as ANDREA BEAVER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration February 22, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457852675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2018
Last Update: March 20, 2026
Sole Proprietor: No

Mailing Address

137 Bellflower Ave Nw

Canton, OH 447085603

Phone: 3303711695

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.