Resha Rochelle-Lee Willis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116468 Issued in MI

Practice address

6170 County Farm Rd
Jackson, MI 49201-9075

Phone

(517) 745-5663

NPI assigned

Apr 17, 2026

Last updated

Apr 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1598609679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 COUNTY FARM RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 COUNTY FARM RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019075",
            "telephone_number": "517-745-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RESHA",
        "middle_name": "ROCHELLE-LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Williamsen, CNM
• Brittany Johanna Williamson, D.O.
• David A Williamson, M.D.
• Justice Willis, CLINICAL INTERN
• Khadiyah Willis
• Aingeal Wilson
• Alexandria June Wilson, LLMSW
• Jana Kai Wilson, PHARM. D.
• Kim Dittis Wilson, NP
• Shirley Jo Wilson, LPC

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, 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 Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.