LESLIE MARIE WILSON (NPI# 1003463704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003463704 |
| Entity Type | Individual |
| Full Name | LESLIE MARIE WILSON |
| Credential | LLBSW |
| Practice Address |
19750 Burt Rd Detroit MI 48219-2078 |
| Mailing Address |
38134 Lyndon St Livonia MI 48154-4964 |
| Practice Telephone | 3135312500 |
| Mailing Telephone | 7348924241 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6802090614 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1598247892 | Leslie Henry Wilson | In Home Supportive Care | 1211 N Range Ave Ste D, Denham Springs, LA 70726-2428 | 2018-09-04 |
| 1699277251 | Leslie Margarita Wilson | Counselor | 2900 Bristol St Ste 103, Costa Mesa, CA 92626-5981 | 2018-02-28 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1962799619 | Leslie Ann Wilson | Speech-Language Pathologist | 391 E Allen St Apt 22, Castle Rock, CO 80108-7664 | 2011-07-01 |
| 1952452823 | Leslie Ann Wilson | Marriage & Family Therapist | 6134 E. Highway 20, Lucerne, CA 95458 | 2007-01-16 |
| 1154311108 | Leslie Wilson | Pediatrics | 3130 Se Military Dr Ste 101, San Antonio, TX 78223-3892 | 2005-10-21 |
| 1255854121 | Leslie Marie Wilson | Nurse Practitioner | 8376 Mojave Trl, Fort Worth, TX 76116-3638 | 2017-07-21 |
| 1932659968 | Leslie J Wilson | Nurse Practitioner | 1301 S Cliff Ave Ste 506, Sioux Falls, SD 57105-1023 | 2016-10-14 |
| 1639424799 | Leslie Diane Wilson | Physical Therapist | 3451 Goodman Rd E Ste 108, Southaven, MS 38672-9305 | 2012-07-16 |
| Street Address |
19750 BURT RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144694498 | Anna Felecia Skinner | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2015-11-24 |
| 1568077683 | Ebony Marie Dabel | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2020-09-15 |
| 1952914533 | Kiana Pryor | Registered Nurse | 19750 Burt Rd, Detroit, MI 48219-2078 | 2020-08-25 |
| 1962027698 | Meredith Cay Duckworth | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2020-06-09 |
| 1396385134 | Jasmin T Taylor | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2020-01-09 |
| 1659926483 | Tehaira A Stevens-roberts | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2019-08-08 |
| 1114582186 | Charlotte Lynn Briggs | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2019-05-06 |
| 1417413311 | Nicole Apoian | Pharmacist | 19750 Burt Rd, Detroit, MI 48219-2078 | 2019-02-15 |
| 1124584073 | Ashley Grimes | Counselor | 19750 Burt Rd, Detroit, MI 48219-2078 | 2019-02-15 |
| 1417420563 | Aysha Stephenson | Social Worker | 19750 Burt Rd, Detroit, MI 48219-2078 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958811 | Jeana L Rooks | Social Worker | 19340 Riverview St, Detroit, MI 48219-4684 | 2020-10-07 |
| 1457966749 | Crystal Radford | Social Worker | 229 Riverside Dr, Detroit, MI 48215-3010 | 2020-09-13 |
| 1285248799 | Lachonta Alise Conley | Social Worker | 12594 Promenade St, Detroit, MI 48213-1416 | 2020-09-02 |
| 1780297754 | Simone D Yancy | Social Worker | 14247 Riverview St, Detroit, MI 48223-2414 | 2020-08-28 |
| 1104435460 | Goddess Great | Social Worker | 17163 E Warren Ave, Detroit, MI 48224-2279 | 2020-07-23 |
| 1710501689 | Matthew Vanderwindt | Social Worker | 3554 Yorkshire Rd, Detroit, MI 48224-2324 | 2020-06-05 |
| 1669091286 | Evan Theodore Fulford | Social Worker | 19928 Lichfield Rd, Detroit, MI 48221-1363 | 2020-04-14 |
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1629601729 | Stephanie Beaton | Social Worker | 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 | 2020-02-17 |
| 1871125781 | Amalia S Miralrio | Social Worker | 1214 Griswold St Apt 805, Detroit, MI 48226-1816 | 2020-02-08 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.