Bianca Wilson, LMSW, SSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096162 Issued in MI

Practice address

13854 Lakeside Cir Ste 255
Sterling Heights, MI 48313-1316

Phone

(248) 206-5787

NPI assigned

Sep 13, 2016

Last updated

Feb 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Umbrellex Behavioral Health Services

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1144723404
  Medicare reassignment Authorized official
• Select Care Management

  • Community/Behavioral Health Agency
  • Sterling Heights, MI
  • NPI 1659874279
  Authorized official Same address or phone

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1770031213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 255",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131316",
            "telephone_number": "248-206-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 255",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131316",
            "telephone_number": "248-206-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BIANCA",
        "credential": "LMSW, SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801096162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Williamson
• Angela Soyad Willis, NP-C
• Willliam Beaumont Hospital (Corewell Health William Beaumont Hospital)
• Shzil Willoughby
• Alexander Wills
• Binta Victoria Wilson
• Helen Horton Wilson, LMSW
• Kenyal Wilson
• Keti Wilson
• Samikia Wilson

• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, 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 Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.