KORIN WILSON LMSW
NPI 1750938916
Social Worker in Grand Rapids, MI

Q: What is Korin Wilson's NPI number?

The NPI number for Korin Wilson is 1750938916. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Q: What is Korin Wilson'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 Korin Wilson was last updated on January 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2019PECOS EnrolledAccepts Medicare Assignment

1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-6571 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2025, Aug 22, 2019 (2 updates tracked since 2019).

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About Korin Wilson Lmsw NPPES

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

KORIN WILSON LMSW (NPI 1750938916) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750938916

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKORIN WILSONCredential: LMSW

Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904

Mailing Address239 Henry StCoopersville, MI 49404-1141

Phone(616) 456-6571

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 22, 2019

Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1750938916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

1115 BALL AVE NE, Grand Rapids, MI 49505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Korin Wilson Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698202935

PECOS Enrollment IDI20241226002190

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 20

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

MS. AIDA S. FOERSTER LLPC

Counselor (Mental Health)

1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505

Kent County (616) 459-7215

MRS. ENID ARLETA GADDIS

Counselor (Mental Health)