Active NPI
Janet Marie Wiles, L.M.S.W., A.C.S.W.,
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1225252331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801016777
- Practice address
- 4011 Village Dr
Flint, MI 48507-5558 - Phone
- (810) 235-2500
- NPI assigned
- Apr 12, 2007
- Last updated
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801016777 | MI | Primary |
Addresses
Primary practice location
4011 Village Dr
Flint, MI 48507-5558
Mailing address
3013 Rivershyre Pkwy
Davison, MI 48423-8623
Phone (810) 658-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI2811 | Other | MI | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801016777 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Place Counseling LLC Dba Treeside Psychological Clinic | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Lake Orion, MI
- NPI 1588841787
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1225252331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 RIVERSHYRE PKWY",
"city": "DAVISON",
"state": "MI",
"postal_code": "484238623",
"telephone_number": "810-658-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 VILLAGE DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485075558",
"telephone_number": "810-235-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILES",
"first_name": "JANET",
"middle_name": "MARIE",
"credential": "L.M.S.W., A.C.S.W.,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801016777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI2811",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.