SIMONE WILSON MSW, LLMSW, CAADC-DP
NPI 1518317890
Social Worker - Clinical in Southfield, MI

Q: What is Simone Wilson's NPI number?

The NPI number for Simone Wilson is 1518317890. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Q: What is Simone 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 Simone Wilson was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 16, 2016PECOS Enrolled

20411 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076(866) 703-1901 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, May 28, 2019, Jan 14, 2019 and 1 more (4 updates tracked since 2016).

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About Simone Wilson Msw, Llmsw, Caadc-dp NPPES

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

SIMONE WILSON MSW, LLMSW, CAADC-DP (NPI 1518317890) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801102161) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1518317890

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSIMONE WILSONCredential: MSW, LLMSW, CAADC-DP

Location Address20411 W 12 MILE RD STE 101Southfield, MI 48076-6404

Mailing Address27300 Franklin Rd Apt 720Southfield, MI 48034-2311 · (313) 316-4440

Phone(866) 703-1901

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 16, 2016

Last NPPES UpdateAugust 6, 20194 updates tracked since enumeration

✔ NPI 1518317890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801102161

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedTechnician, OtherTaxonomy 247200000X

20411 W 12 MILE RD STE 101, Southfield, MI 48076

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Secondary Practice Locations 2

Location 113336-40 E. Warren AveDetroit, MI 48215 · Phone (313) 822-1135 ext. 107

Location 2229 N Sheldon RdPlymouth, MI 48170-1524 · Phone (313) 278-4601

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simone Wilson Msw, Llmsw, Caadc-dp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648753509

PECOS Enrollment IDI20260310002615

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 48076 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.

MARY MCEVOY

Psychologist (Clinical)