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

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: October 18, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Clinical
1115 BALL AVE NE
Grand Rapids, MI 49505
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 clinicians in this Medicare group

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

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.

Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Counselor (Addiction (Substance Use Disorder))
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505
Counselor
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Korin Wilson located?

Korin Wilson practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.

What is Korin Wilson's specialty?

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

Is Korin Wilson enrolled in Medicare?

Yes. Korin Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Korin Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Korin Wilson reassigns Medicare benefits to 2 organizations: Arbor Circle Corporation (Grand Rapids, MI) and Counseling Center Of West Michigan, LLC (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Korin Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Korin Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Korin Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Korin Wilson was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.