Latonya Wilson, LLMSW is a
Social Worker - Clinical based in Brighton, Michigan. Latonya Wilson is licensed to practice in Michigan (license number 680115910) and her current practice location is
2200 Genoa Business Park Dr Ste 100, Brighton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 449-7180.
NPI number for Latonya Wilson is 1407490808 and her current mailing address is 1100 Torrey Rd Ste 100, Fenton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407490808.
Healthcare Provider's Profile
| Full Name | Latonya Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2200 Genoa Business Park Dr Ste 100, Brighton, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407490808
- Provider Enumeration Date: 10/30/2019
- Last Update Date: 02/28/2022
Medical Identifiers
Medical identifiers for Latonya Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407490808 | NPI | - | NPPES |
| 1003247362 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 680115910 (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. Latonya 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 |
|---|
Latonya Wilson, LLMSW
1100 Torrey Rd Ste 100,
Fenton, MI 48430-3327
Ph: (810) 494-7180 | Latonya Wilson, LLMSW
2200 Genoa Business Park Dr Ste 100,
Brighton, MI 48114-5328
Ph: (810) 449-7180 |
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