Individual provider Active NPI

Stephen R. Wiland, LMSW, ICADC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1740526391
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078883 Issued in MI
Practice address
202 E Washington St
# 500
Ann Arbor, MI 48104-2017
Phone
(734) 945-4644
NPI assigned
Dec 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 6801078883 MI
Clinical Social Worker 1041C0700X 6801078883 MI Primary

Addresses

Primary practice location

202 E Washington St
# 500
Ann Arbor, MI 48104-2017

Mailing address

4401 Lori Lynn LN
Whitmore Lake, MI 48189-9037
Phone (734) 358-9914

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
I20200204000788 MI Practitioner - Clinical Social Worker 8527494954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Counseling PLLCGroup PAC ID 8628382553, 5 clinicians

Practice addresses (Care Compare)

3830 Packard St
Suite 160
Ann Arbor, MI 48108-2357
Phone (734) 528-9703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078883MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling, PLLC CurrentSince Nov 30, 2019 Accepting new patients

Locations

3830 Packard St
Ste 160
Ann Arbor, MI 48108
Phone (734) 528-9703

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1740526391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 LORI LYNN LN",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899037",
            "telephone_number": "734-358-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST",
            "address_2": "# 500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-945-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILAND",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "LMSW, ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801078883",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.