MRS. HOLLY GENE WIXON - NPI 1255771713 - Social Worker in Charlotte, MI

Q: What is Holly Wixon's NPI number?

The NPI number for Holly Wixon is 1255771713. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Q: What is Holly Wixon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Wixon was last updated on May 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Holly Gene Wixon NPPES

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

MRS. HOLLY GENE WIXON (NPI 1255771713) is an individual social worker in Charlotte, Michigan, licensed in Michigan (6801095663) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1255771713

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. HOLLY GENE WIXON

Location Address128 S COCHRAN AVECharlotte, MI 48813-1510

Mailing Address8131 E Jefferson AveDetroit, MI 48214-2610 · (616) 350-7781

Phone(517) 325-9090

Fax(517) 325-9091

Sole ProprietorNo

Enumeration DateJune 28, 2013

Last NPPES UpdateMay 27, 20202 updates tracked since enumeration

NPPES CertifiedMay 27, 2020

✔ NPI 1255771713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801095663

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

128 S COCHRAN AVE, Charlotte, MI 48813

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Secondary Practice Location 1

Location 16101 Pickerel Dr NERockford, MI 49341-9052 · Phone (810) 705-3939

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, McLaren Health Plan Community 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)

Mrs. Holly Gene Wixon 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.

Other Providers at the Same Location NPPES 13

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

ELLYN SCHWICKRATH

Social Worker