Individual provider Active NPI

Karol Wilson, LMSW

  • Clinical Social Worker
  • Westland, MI
National Provider Identifier
1154759082
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068056 Issued in MI
Practice address
35300 Nankin Blvd
Westland, MI 48185-7222
Phone
(734) 261-1842
NPI assigned
Nov 1, 2013
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801068056 MI
Clinical Social Worker 1041C0700X 6801068056 MI Primary

Addresses

Primary practice location

35300 Nankin Blvd
Westland, MI 48185-7222

Mailing address

2963 Greenbrooke LN
West Bloomfield, MI 48324-4788
Phone (248) 363-0156

Other identifiers 1

IdentifierTypeStateIssuer
6801068056OtherMISOCIAL WORK

Other names 1

  • Ms. Karol Anne Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801068056MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1154759082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 GREENBROOKE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244788",
            "telephone_number": "248-363-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35300 NANKIN BLVD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857222",
            "telephone_number": "734-261-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAROL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801068056",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "6801068056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROL",
            "last_name": "JONES",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.