Active NPI
Karla Leigh Wing, MSW. LMSW, ACSW
- Clinical Social Worker
- Jackson, MI
National Provider Identifier
1508811290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086818
- Practice address
- 3907 Harwich LN
Jackson, MI 49201-9347 - Phone
- (517) 750-1443
- NPI assigned
- May 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086818 | MI | Primary |
Addresses
Primary practice location
3907 Harwich LN
Jackson, MI 49201-9347
Mailing address
3907 Harwich LN
Jackson, MI 49201-9347
Phone (517) 750-1443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008975540 | Other | MI | TRADITIONAL BLUE CROSS BL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1508811290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 HARWICH LN",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019347",
"telephone_number": "517-750-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907 HARWICH LN",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019347",
"telephone_number": "517-750-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "KARLA",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "MSW. LMSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRADITIONAL BLUE CROSS BL",
"identifier": "8008975540",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.