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

Mr. James R Willis, LMSW

Individual provider Social Worker · NPI 1417779448

Mr. James R Willis, LMSW is a Clinical Social Worker in Southfield, Michigan. Qualified in 1999, 27 years ago. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

29699 Southfield Rd
Southfield, MI 48076-2038
Phone: (248) 559-5000
Fax: (248) 559-0773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801078616 (MI)
Social Worker Taxonomy 104100000X · Licence 6801078616 (MI)

Record details

NPI number1417779448
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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