Individual provider Active NPI

Arielle Rochell Wilson

  • Social Worker
  • Detroit, MI
National Provider Identifier
1821598160
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801116206 Issued in MI
Practice address
3011 W Grand Blvd FL 10
Detroit, MI 48202-3013
Phone
(313) 748-6420
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6801116206 MI
Social Worker 104100000X 6801116206 MI Primary
Clinical Social Worker 1041C0700X 6801102174 MI

Addresses

Primary practice location

3011 W Grand Blvd FL 10
Detroit, MI 48202-3013

Mailing address

48879 Michaywe Dr
Macomb, MI 48044-2308

Other practice location 1

16664 15 Mile Rd
Fraser, MI 48026-3713
Phone (586) 294-3030

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
I20230925000948 MI Practitioner - Clinical Social Worker 6002260163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801116206MIMDSocial Worker
6801102174MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Feb 20, 2025 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1821598160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48879 MICHAYWE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD FL 10",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023013",
            "telephone_number": "313-748-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16664 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480263713",
            "country_code": "US",
            "telephone_number": "586-294-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ARIELLE",
        "middle_name": "ROCHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801116206",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801116206",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.