Melissa M Wilson

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MELISSA M WILSON

Doing business as

Melissa M Wilson

Practice address

411 W Lake Lansing Rd Ste C
East Lansing, MI 48823-8445

Phone

(517) 410-3287

NPI assigned

Jan 31, 2019

Last updated

Jan 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy Gallegos

Title

Manager Billing

Phone

(517) 483-2461

Specialties & licenses 1

Addresses

Other names 1

• Melissa M Wilson Doing business as

Locations

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1649735952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238445",
            "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 C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238445",
            "telephone_number": "517-410-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA M WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MANAGER BILLING",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa M Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.