Individual provider Active NPI

Marla J Edwards-Wheeler

  • Clinical Social Worker
  • Inkster, MI
National Provider Identifier
1154974939
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099380 Issued in MI
Practice address
1250 Middlebelt Road
Inkster, MI 48141-1541
Phone
(734) 334-6623
Fax
(734) 661-6374
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099380 MI Primary

Addresses

Primary practice location

1250 Middlebelt Road
Inkster, MI 48141-1541

Mailing address

1250 Middlebelt Road
Inkster, MI 48141-1541
Phone (734) 334-6623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001586 MI Practitioner - Clinical Social Worker 6901132828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 Middlebelt Rd
Inkster, MI 48141-1628
Phone (734) 858-7261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099380MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Just Tri Recovery Clinical CurrentSince Jul 12, 2023 Accepting new patients
Asnaa CurrentSince Jun 21, 2019 Accepting new patients
Iamerica Wellness Center PastSince Nov 9, 2025 Accepting new patients

Locations

8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088

19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

1061 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (313) 307-0088

1061 Inkster Rd
Garden City, MI 48135
Phone (313) 307-0088

1250 Middlebelt Rd
Inkster, MI 48141
Phone (734) 721-3800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1154974939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MIDDLEBELT ROAD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411541",
            "telephone_number": "734-334-6623",
            "fax_number": "734-661-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MIDDLEBELT ROAD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411541",
            "telephone_number": "734-334-6623",
            "fax_number": "734-661-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-WHEELER",
        "first_name": "MARLA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

Verify at the official NPI Registry.