Victoria Ann Wilson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801066196 Issued in MI

Practice address

1350 S Milford Rd
Highland, MI 48357-4858

Phone

(810) 410-7053

Fax

(248) 499-1232

NPI assigned

Aug 31, 2021

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victoria Ann Wilson

  • Clinical Social Worker
  • Highland, MI
  • NPI 1053000877
  NPD Authorized official

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1679241186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 MEADOW DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294613",
            "telephone_number": "248-854-1422",
            "fax_number": "248-690-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574858",
            "telephone_number": "810-410-7053",
            "fax_number": "248-499-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bruce Wihongi
• Asia Rosetta Williams, DDS
• Christy Eileen Yee, M.A. OTR/L
• Joanne Lualhati Yee, COTA
• Amanda L Youngs, OTRL
• Perparim Zeneli, OTR
• Meghan M. Zidar, PT

• Clinical Social Worker in Highland, MI
• Providers in Highland, 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 May 6, 2023; 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.