KELLEY SUSAN WIESE (NPI# 1194385633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194385633 |
| Entity Type | Individual |
| Full Name | KELLEY SUSAN WIESE |
| Credential | MSW |
| Practice Address |
612 Corvus Dr Midland MI 48642-8111 |
| Practice Telephone | 6148052930 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801103963 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427584127 | Kelley Wiese | Specialist/Technologist | 2509 Pleasant Run Dr, Harrisonburg, VA 22801-8720 | 2017-05-02 |
| Street Address |
612 CORVUS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796499 | Stacey Lynn-churchill Smyczynski | Social Worker | 1511 W Carpenter St, Midland, MI 48640-4339 | 2020-10-07 |
| 1457907172 | Robin Lynn Greiner | Social Worker | 4710 N Saginaw Rd Ste B, Midland, MI 48640-2300 | 2019-08-18 |
| 1164926689 | Sarah Meinzer | Social Worker | 3500 N A St Ste 2400, Midland, TX 79705-3610 | 2018-03-20 |
| 1659888329 | Jessica Lynn Vanhorn | Social Worker | 220 W Main St Ste 104, Midland, MI 48640-5184 | 2018-01-04 |
| 1235587270 | Angelique Rinearson | Social Worker | 5103 Eastman Ave Ste 173, Midland, MI 48640-6795 | 2016-06-01 |
| 1770941130 | Samantha Jammer | Social Worker | 6 W Wyllys Ct, Midland, MI 48642-4618 | 2016-02-01 |
| 1861876468 | Geodes, Anxiety and Trauma Clinic, LLC | Social Worker | 1164 James Savage Rd Ste E, Midland, MI 48640-6843 | 2015-07-13 |
| 1962817080 | Rebecka Suzane Hale | Social Worker | 1194 Meadowlark, Midland, MI 48640-7619 | 2014-06-26 |
| 1972920569 | Donna Alice Clark | Social Worker | 3007 N. Saginaw Rd., Midmichigan Home Care, Midland, MI 48640 | 2014-03-21 |
| 1477979987 | Lisa Jo Ciaciuch | Social Worker | 1714 Eastman Avenue, Midland, MI 48640 | 2014-03-07 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.