EMILY WIERSMA LCSW
NPI 1265174007
Social Worker - Clinical in Madison, WI

Q: What is Emily Wiersma's NPI number?

The NPI number for Emily Wiersma is 1265174007. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Emily Wiersma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Wiersma was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment

7633 GANSER WAY STE 204, MADISON, WI 53719(608) 829-1800 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emily Wiersma Lcsw NPPES

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

EMILY WIERSMA LCSW (NPI 1265174007) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (9885-123) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265174007

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEMILY WIERSMACredential: LCSW

Location Address7633 GANSER WAY STE 204Madison, WI 53719-2092

Mailing Address7633 Ganser Way Ste 204Madison, WI 53719-2092 · (608) 829-1800

Phone(608) 829-1800

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1265174007 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 WI · 9885-123

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.

7633 GANSER WAY STE 204, Madison, WI 53719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Quartz.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

Emily Wiersma Lcsw 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 ID2365975521

PECOS Enrollment IDI20241025002154

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 53719 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE CATHERINE WISWELL LPC

Counselor (Professional)