Active NPI
Michael C Wilson, MSW
- Social Worker
- Yellow Springs, OH
National Provider Identifier
1437205283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.070004TEMP
- Practice address
- 416 Xenia Ave
Yellow Springs, OH 45387-1836 - Phone
- (937) 767-9171
- Fax
- (937) 767-9175
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | I.070004TEMP | OH | Primary |
Addresses
Primary practice location
416 Xenia Ave
Yellow Springs, OH 45387-1836
Mailing address
416 Xenia Ave
Yellow Springs, OH 45387-1836
Phone (937) 767-9171
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 |
|---|---|---|---|
| I.070004TEMP | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Layh & Associates Inc | Social Worker | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437205283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 XENIA AVE",
"city": "YELLOW SPRINGS",
"state": "OH",
"postal_code": "453871836",
"telephone_number": "937-767-9171",
"fax_number": "937-767-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 XENIA AVE",
"city": "YELLOW SPRINGS",
"state": "OH",
"postal_code": "453871836",
"telephone_number": "937-767-9171",
"fax_number": "937-767-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.070004TEMP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yellow Springs, OH
- Keith A Watson, MD
- Margaret Carroll Wehner, MA, CCC-SLP
- Matthew G West, MS
- Christopher Seinjen Wharton, PA-C
- Debra Williamson
- Yellow Springs Chiropractic, LLC
- Yellow Springs Chiropratic II, LLC
- Yellow Springs Dental Care John T Russell DDS Inc.
- Yellow Springs Pharmacy LLC
- Yellow Springs Primary Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.