Elaine Henrietta Wilson, EDSPC, LMSW /LPC/MAC is a
Social Worker - Clinical based in Detroit, Michigan. Elaine Henrietta Wilson is licensed to practice in Michigan (license number 6801059944) and her current practice location is
9930 Greenfield Rd, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(648) 531-8036.
NPI number for Elaine Henrietta Wilson is 1497442206 and her current mailing address is 1938 Compton Dr Se, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497442206.
Healthcare Provider's Profile
| Full Name | Elaine Henrietta Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 9930 Greenfield Rd, Detroit, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497442206
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 04/20/2023
Medical Identifiers
Medical identifiers for Elaine Henrietta Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497442206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6401000467 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401000467 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801059944 (Michigan) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801059944 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elaine Henrietta Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elaine Henrietta Wilson, EDSPC, LMSW /LPC/MAC
1938 Compton Dr Se,
Atlanta, GA 30315-6629
Ph: (648) 531-8036 | Elaine Henrietta Wilson, EDSPC, LMSW /LPC/MAC
9930 Greenfield Rd,
Detroit, MI 48227-2036
Ph: (648) 531-8036 |
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