Individual provider Active NPI

Henrietta Carter Wilcox, LCSW

  • Social Worker
  • Royal Oak, MI
National Provider Identifier
1174706931
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801079343 Issued in MI
Practice address
4410 W 13 Mile Rd
Royal Oak, MI 48073-6515
Phone
(586) 573-1810
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801079343 MI Primary

Addresses

Primary practice location

4410 W 13 Mile Rd
Royal Oak, MI 48073-6515

Mailing address

121 Bear Creek TRL
Hampton, GA 30228-2265
Phone (470) 497-9573

Other names 1

  • Henrietta Carter Wilcox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30301 Northwestern Hwy
Suite 100
Farmington Hills, MI 48334-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801079343MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judson Center, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Judson Center, Inc. CurrentSince Oct 6, 2025 Accepting new patients

Locations

30301 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 549-4339

4410 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 217-8066

12200 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 573-1810

12220 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (866) 558-3766

Organizations & group practices 2

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": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1174706931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BEAR CREEK TRL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282265",
            "telephone_number": "470-497-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736515",
            "telephone_number": "586-573-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "HENRIETTA",
        "middle_name": "CARTER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRIETTA",
            "last_name": "WILCOX",
            "middle_name": "CARTER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.