Lila Wiaduck, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801101504 Issued in MI

Practice address

50222 Dennis CT
Wixom, MI 48393-2023

Phone

(248) 525-6832

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lila.wiaduck.1@30520.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ABDFAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covered Bridge Healthcare of St. Joseph County Inc

  • Federally Qualified Health Center (FQHC)
  • Centreville, MI
  • NPI 1063876910
  NPD
• Neighborhood Service Organization

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1891825808
  NPD
• Therapeutics, LLC

  • Methadone Clinic
  • Walled Lake, MI
  • NPI 1902284193
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1023535879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15773 KITCHEL LN",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50222 DENNIS CT",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932023",
            "telephone_number": "248-525-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIADUCK",
        "first_name": "LILA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devi Janani Vijaya Raghavan
• Loretta E Villeneuve, P.A.
• Dayna Ruth Weber, LPC
• Weller Chiropractic Clinic P.C.
• Mark Christopher Weller, D.C.
• Clarhonda Williamson, LLMSW
• Nicole Winters
• Laura Wisniewski, LMSW
• Wixom Dental
• Leeanna Jean Wolf

• Clinical Social Worker in Wixom, MI
• Providers in Wixom, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.