Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Simone Wilson, MSW, LLMSW, CAADC-DP

Individual provider Behavior Technician · NPI 1518317890

Simone Wilson, MSW, LLMSW, CAADC-DP is a Clinical Social Worker in Southfield, Michigan. Qualified in 2017, 9 years ago. Works from 3 locations. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404
Phone: (866) 703-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13336-40 E. Warren Ave, Detroit, MI 48215 — (313) 822-1135
  • 229 N Sheldon Rd, Plymouth, MI 48170-1524 — (313) 278-4601

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801102161 (MI)
Behavior Technician Taxonomy 106S00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1518317890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LLMSW , CAADC-DP
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESAugust 6, 2019
Mailing address27300 Franklin Rd Apt 720, Southfield, MI 48034-2311

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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