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KELLEY SUSAN WIESE MSW
NPI 1194385633
Social Worker - Clinical in Midland, MI

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
612 CORVUS DR, MIDLAND, MI 48642(614) 805-2930 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Susan Wiese Msw NPPES

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

KELLEY SUSAN WIESE MSW (NPI 1194385633) is an individual clinical provider in Midland, Michigan, licensed in Michigan (6801103963) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1194385633
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY SUSAN WIESECredential: MSW
Location Address612 CORVUS DRMidland, MI 48642-8111
Mailing Address612 Corvus DrMidland, MI 48642-8111
Phone(614) 805-2930
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 17, 2019
✔ NPI 1194385633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801103963
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.
612 CORVUS DR, Midland, MI 48642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Susan Wiese Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557728094
PECOS Enrollment IDI20230527000188
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelley Wiese's NPI number?

The NPI number for Kelley Wiese is 1194385633. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Kelley Wiese located?

Kelley Wiese practices at 612 Corvus Dr, Midland, MI 48642. The listed phone number is (614) 805-2930.

What is Kelley Wiese's specialty?

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

Is Kelley Wiese enrolled in Medicare?

Yes. Kelley Wiese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Wiese accept?

Health plans from Oscar Insurance Company and Priority Health list Kelley Wiese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Wiese was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.