Michelle Mcmillan Wilson | San Leandro, CA • PECOS Search

Michelle Mcmillan Wilson

Social Worker

Behavioral Health & Social Service Providers

933 Macarthur Blvd Ste 1a, San Leandro, CA 94577-3062

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle Mcmillan Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1376262444
Provider Type
Individual
Full Name
Wilson, Michelle Mcmillan
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/23/2022
Last Updated
8/23/2022

Contact Information

Practice Location

933 Macarthur Blvd Ste 1a, San Leandro, CA 94577-3062

Unlisted Fax

Mailing Location

10816 Golf Links Rd, Oakland, CA 94605-5616

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW108812 California