Individual provider Active NPI

Steffany Marie Wilson, LMSW

  • Social Worker
  • Monroe, MI
National Provider Identifier
1184866907
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085434 Issued in MI
Practice address
700 Stewart Rd
Suite 105 the Family Center
Monroe, MI 48162
Phone
(734) 240-1760
Fax
(734) 240-1787
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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 6801085434 MI Primary

Addresses

Primary practice location

700 Stewart Rd
Suite 105 the Family Center
Monroe, MI 48162

Mailing address

718 N Macomb St
Monroe, MI 48162
Phone (734) 240-8400

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
I20090813000552 MI Practitioner - Clinical Social Worker 6709930548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085434MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions of Wellness, Inc., a Nonprofit Corporation Social Worker CurrentSince Jan 18, 2024 Accepting new patients
Toledo Clinic Incorporated PastSince Jan 18, 2024 Accepting new patients

Locations

17461 Allen Rd
Melvindale, MI 48122
Phone (313) 364-9042

2250 N Monroe St
Monroe, MI 48162
Phone (313) 920-8771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1184866907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-240-8400",
            "fax_number": "734-240-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "address_2": "SUITE 105 THE FAMILY CENTER",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.