Individual provider Active NPI

Melissa Marie Wilson, LMSW, MPH

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1578708178
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090581 Issued in MI
Practice address
411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483
Phone
(517) 882-6159
NPI assigned
Dec 10, 2008
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801090581 MI
Clinical Social Worker 1041C0700X 6801090581 MI Primary

Addresses

Primary practice location

411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483

Mailing address

134 S Foster Ave
Lansing, MI 48912-4022
Phone (517) 410-3287

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
I20130319000029 MI Practitioner - Clinical Social Worker 4880839042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 W Lake Lansing Rd
Suite C120
East Lansing, MI 48823-8483
Phone (517) 882-6159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Global Soulplay Counseling & Consulting PLLC Social Worker CurrentSince Sep 2, 2024 Accepting new patients

Locations

411 W Lake Lansing Rd
Ste C120
East Lansing, MI 48823
Phone (517) 214-9154

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.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578708178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S FOSTER AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124022",
            "telephone_number": "517-410-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C120",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238483",
            "telephone_number": "517-882-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.