Individual provider · Type 1 NPI

Megan Charice Wilson, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1104564467 Active

Practice location

2020 Raybrook St SE Ste 305
Grand Rapids, MI 49546-7717

Mailing address

8297 W Sturtevant Ave
Richland, MI 49083-8538

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851114556 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104564467

Megan Charice Wilson, LLMSW's National Provider Identifier is 1104564467, issued on May 25, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 30, 2026.