POLLY ANN WILSON LMSW
NPI 1437594652
Social Worker - Clinical in Livonia, MI

Q: What is Polly Wilson's NPI number?

The NPI number for Polly Wilson is 1437594652. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Q: What is Polly Wilson'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 Polly Wilson was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 May 01, 2013PECOS Enrolled

17250 FARMINGTON RD, LIVONIA, MI 48152(734) 425-4070(734) 425-8350 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2023, Jan 27, 2023, Jan 11, 2023 (3 updates tracked since 2023).

On this page

About Polly Ann Wilson Lmsw NPPES

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

POLLY ANN WILSON LMSW (NPI 1437594652) is an individual clinical provider in Livonia, Michigan, licensed in Michigan (6801117015) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437594652

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePOLLY ANN WILSONCredential: LMSW

Location Address17250 FARMINGTON RDLivonia, MI 48152-3151

Mailing Address44000 W 12 Mile Rd Ste 101Novi, MI 48377-2646 · (248) 226-3001 · Fax (248) 347-6479

Phone(734) 425-4070

Fax(734) 425-8350

Sole ProprietorNo

Enumeration DateMay 1, 2013

Last NPPES UpdateSeptember 1, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2023

✔ NPI 1437594652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801117015

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.

17250 FARMINGTON RD, Livonia, MI 48152

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Secondary Practice Locations 2

Location 144000 W 12 Mile Rd Ste 101Novi, MI 48377-2646 · Phone (248) 226-3001 · Fax (248) 347-6479

Location 210 Peterboro StDetroit, MI 48201-2722 · Phone (133) 831-3160

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polly Ann Wilson 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.

Medicare Billing Reassignments

Medicare enrollment records show Polly Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Detroit Central City Community Mental Health, Inc

17 mi

Mental Health (Including Community Mental Health Center)

10 PETERBORO
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
34 clinicians in this Medicare group

NPI 1447271788 (313) 831-3160

Henry Ford Health Eastwood Behavioral Health

24 mi

Social Worker

37500 GARFIELD RD STE 175
Clinton Township, MI 48036

Reassigned Medicare billing, Michigan enrollment
98 clinicians in this Medicare group

NPI 1396787701 (586) 792-5335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48152 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 15

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

REBECCA L SHERMAN LMSW

Social Worker (Clinical)