Kristina Marie Wilson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096413 Issued in MI

Practice address

1450 S Lapeer Rd
Oxford, MI 48371-6108

Phone

(248) 524-8801

NPI assigned

Apr 28, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1801206032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716108",
            "telephone_number": "248-524-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716108",
            "telephone_number": "248-524-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096413",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana McMahon White, MA LPC, CADC-M, LBSW
• Joshua Michael White, LLP
• Paul R Wieckowski, MSW
• Christina Williams
• Melinda Jo Williams, M.A. CCC-SLP
• Sheryl A Wissman, MD
• Richard Wojciechowski, D. V. M
• Heidi Louise Wood, R.N.
• Mary Margaret Wysocki, MA, LPC
• Bhaskar Reddy Yerasi, M.D.

• Clinical Social Worker in Oxford, MI
• Providers in Oxford, 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 22, 2017; 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.