Kevin P Wilson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801019653 Issued in MI

Practice address

6110 W Willow Hwy
Lansing, MI 48917-1215

Phone

(517) 321-7248

Fax

(517) 321-4493

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1689155590
  NPD (past)
• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1801819149
  NPD (past)
• Consumer Services, Inc.

  dba Taylor Life Center

  • Adult Mental Health Clinic/Center
  • Mason, MI
  • NPI 1306876735
  NPD (past)
• Consumer Services, Inc.

  dba Taylor Life Center

  • Clinical Social Worker
  • Mason, MI
  • NPI 1700066339
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831113083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80586",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489080586",
            "telephone_number": "517-321-7248",
            "fax_number": "517-321-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 W WILLOW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171215",
            "telephone_number": "517-321-7248",
            "fax_number": "517-321-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Magic Wills
• Amber Hillary Nicole Wilson, CSW
• Aneka Wilson
• Erin Wilson
• Kathleen Marie Wilson, MS, OTR/L
• Magdalyn Wilson
• Mary Wilson
• Michael Wilson
• Michael Paul Wilson, PHARMD
• Nathaniel Julian Wilson

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, 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 Jul 8, 2007; 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.