Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariyah Destany Wilcox, BSW

Individual provider Case Manager/Care Coordinator · NPI 1265159743

Mariyah Destany Wilcox, BSW is a Clinical Social Worker in Muskegon, Michigan. Qualified in 2023, 3 years ago. Registered with an NPI since 2022.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

376 E Apple Ave
Muskegon, MI 49442-3466
Phone: (231) 724-1111
Fax: (231) 724-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1265159743
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Muskegon