Cynthia Deborah Wilcome, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086525 Issued in MI

Practice address

1322 N River Rd
Norserv Group LTD
St Clair, MI 48060

Phone

(810) 329-4798

Fax

(810) 329-7303

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norserv Group LTDGroup PAC ID 3577460047, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Norserv Group LTD

  • Mental Health Counselor
  • St Clair, MI
  • NPI 1619934650
  Medicare reassignment Care Compare group
• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Marine City, MI
  • NPI 1821133265
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1457312415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 PALMER CT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-6235",
            "fax_number": "810-329-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N RIVER RD",
            "address_2": "NORSERV GROUP LTD",
            "city": "ST CLAIR",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOME",
        "first_name": "CYNTHIA",
        "middle_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741335",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Vaughn, PHARMD
• Gabriela Marita Vega Bravo, SOCIAL WORK
• Kris Chilson Wellman, DPT
• Deidra White
• William Dale Whiting Sr., MA SW
• Sheila Marie Wolak, LMSW ACSW
• Woodward Detroit CVS, L.L.C.
• Sara R. Wutzke, R.N.

• Clinical Social Worker in St Clair, MI
• Providers in St Clair, MI by specialty
• Clinical Social Worker in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.