Individual provider Active NPI

Carmela Wilder, LMSW

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1740723659
Registry record updated Nov 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062811 Issued in MI
Practice address
26850 Providence Pkwy
Suite 205
Novi, MI 48374-1213
Phone
(248) 465-5330
NPI assigned
Nov 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2016

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 6801062811 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy
Suite 205
Novi, MI 48374-1213

Mailing address

26850 Providence Pkwy
Suite 205
Novi, MI 48374-1213
Phone (248) 465-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Social Worker CurrentSince Jul 15, 2017 Accepting new patients
Henry Ford Health St. John Hospital Social Worker CurrentSince Jul 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 15, 2017 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2017 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

26850 Providence Pkwy
Novi, MI 48374
Phone (248) 380-3550

26850 Providence Pkwy
Ste 2015
Novi, MI 48374

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: cwilder946962@direct.hfhs.org

Organizations & group practices 5

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": "1479945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479945600000",
    "number": "1740723659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 205",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-465-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 205",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-465-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "CARMELA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-24",
        "last_updated": "2016-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.