Individual provider Active NPI

Jewel Nicole Wilson-Taylor, LMSW

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1952240913
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801122083 Issued in MI
Practice address
271 S Main St
Plymouth, MI 48170-1637
Phone
(734) 455-4095
NPI assigned
Mar 26, 2026
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 6801122083 MI Primary

Addresses

Primary practice location

271 S Main St
Plymouth, MI 48170-1637

Mailing address

271 S Main St
Plymouth, MI 48170-1637
Phone (734) 455-4095

Other names 1

  • Jewel Nicole Wilson Former name

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
I20260603003009 MI Practitioner - Clinical Social Worker 1456822154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 S Main St
Plymouth, MI 48170-1637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801122083MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Works, Inc CurrentSince May 14, 2026 Accepting new patients
Growth Works Inc. PastSince May 14, 2026 Accepting new patients

Locations

271 S Main St
Plymouth, MI 48170
Phone (734) 320-7345

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1952240913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701637",
            "telephone_number": "734-455-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701637",
            "telephone_number": "734-455-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-TAYLOR",
        "first_name": "JEWEL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801122083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWEL",
            "last_name": "WILSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.