Rachel Maryanna Wilson
Rachel Maryanna Wilson is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices with Leadlight LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 5
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
221 Trowbridge St NE Apt 208Grand Rapids, MI 49503-1891
Phone: (616) 209-9295
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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 6851110205 (MI) |
|---|
Record details
| NPI number | 1326751215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2023 |
| Last updated in NPPES | January 5, 2023 |
| Certification date | January 5, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Leadlight Llc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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