Individual provider Active NPI

Rebecca Wilson-Longlet, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1659308393
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801072436 Issued in MI
Practice address
126 Washington Ave
Bay City, MI 48708-5846
Phone
(989) 684-7977
Fax
(989) 684-4331
NPI assigned
Jun 27, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801072436 MI Primary

Addresses

Primary practice location

126 Washington Ave
Bay City, MI 48708-5846

Mailing address

443 N State St
Caro, MI 48723-1539
Phone (989) 672-6160

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
I20120109000936 MI Practitioner - Clinical Social Worker 8123294329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 E Midland Rd
Auburn, MI 48611-9780
Phone (989) 266-3422

29488 Woodward Ave
Suite 199
Royal Oak, MI 48073-0903
Phone (989) 266-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801072436MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services LLC Clinical CurrentSince Apr 1, 2016 Accepting new patients

Locations

111 E Midland Rd
Auburn, MI 48611
Phone (989) 266-3421

29488 Woodward Ave
Royal Oak, MI 48073
Phone (248) 571-7040

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1659308393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-672-6160",
            "fax_number": "989-672-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085846",
            "telephone_number": "989-684-7977",
            "fax_number": "989-684-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-LONGLET",
        "first_name": "REBECCA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801072436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.