Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALLYSE WEIDMAN LLMSW
NPI 1184391864
Social Worker - Clinical in Portage, MI

Active since August 30, 2021
5930 LOVERS LN STE 1B, PORTAGE, MI 49002(269) 205-8220 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2026, May 19, 2026, Nov 11, 2021 (3 updates tracked since 2021).

About Allyse Weidman Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLYSE WEIDMAN LLMSW (NPI 1184391864) is an individual clinical provider in Portage, Michigan, licensed in Michigan (6851117883) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1184391864
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALLYSE WEIDMANCredential: LLMSW
Location Address5930 LOVERS LN STE 1BPortage, MI 49002-1673
Mailing Address2222 W Grand River Ave Ste AOkemos, MI 48864-1604 · (269) 205-8220 · Fax (269) 242-2237
Sole ProprietorYes
Enumeration DateAugust 30, 2021
Last NPPES UpdateAugust 9, 20263 updates tracked since enumeration
NPPES CertifiedAugust 9, 2026
NPI 1184391864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851117883
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
5930 LOVERS LN STE 1B, Portage, MI 49002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allyse Weidman's NPI number?

The NPI number for Allyse Weidman is 1184391864. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Allyse Weidman located?

Allyse Weidman practices at 5930 Lovers Ln Ste 1B, Portage, MI 49002. The listed phone number is (269) 205-8220.

What is Allyse Weidman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Allyse Weidman was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.