ANTOINETTE WILDER LMSW
NPI 1154159317
Social Worker - Clinical in Dearborn, MI

Q: What is Antoinette Wilder's NPI number?

The NPI number for Antoinette Wilder is 1154159317. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Antoinette Wilder's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Antoinette Wilder was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2024PECOS Enrolled

3200 GREENFIELD RD STE 300, DEARBORN, MI 48120(646) 941-7645(929) 596-7897 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 5, 2026, Jul 22, 2024 (2 updates tracked since 2024).

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About Antoinette Wilder Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINETTE WILDER LMSW (NPI 1154159317) is an individual clinical provider in Dearborn, Michigan, licensed in Michigan (6801118149) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1154159317

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANTOINETTE WILDERCredential: LMSW

Location Address3200 GREENFIELD RD STE 300Dearborn, MI 48120-1805

Mailing Address8355 E 32nd Ave Apt 353Denver, CO 80238-4435 · (313) 460-8913

Phone(646) 941-7645

Fax(929) 596-7897

Sole ProprietorYes

Enumeration DateJuly 22, 2024

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1154159317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MI · 6801118149✔ Licensed in CO · .0993241

Definition

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.

3200 GREENFIELD RD STE 300, Dearborn, MI 48120

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Secondary Practice Location 1

Location 11560 Broadway Fl 16Denver, CO 80202-6000 · Phone (323) 205-7088

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antoinette Wilder Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

B & B SENIOR SERVICES OF MI LLC

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