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CRAIG ANDREW WIEDER LSW
NPI 1366958019
Social Worker - Clinical in Philadelphia, PA

Active since December 18, 2017PECOS EnrolledAccepts Medicare Assignment
3600 GATEWAY DR APT 412A, PHILADELPHIA, PA 19145(215) 704-8383 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Dec 18, 2017 (2 updates tracked since 2017).

About Craig Andrew Wieder Lsw NPPES

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

CRAIG ANDREW WIEDER LSW (NPI 1366958019) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW024484) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366958019
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCRAIG ANDREW WIEDERCredential: LSW
Location Address3600 GATEWAY DR APT 412APhiladelphia, PA 19145-5940
Mailing Address3600 Gateway Dr Apt 412aPhiladelphia, PA 19145-5940 · (215) 704-8383
Phone(215) 704-8383
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 18, 2017
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1366958019 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 PA · CW024484
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.
3600 GATEWAY DR APT 412A, Philadelphia, PA 19145
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Craig Andrew Wieder Lsw 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 ID9830622620
PECOS Enrollment IDI20241031004103
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.

Medicare Billing Reassignment

Medicare enrollment records show Craig Wieder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychogeriatric Services LLC
101 mi
Psychiatry
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 108 clinicians in this Medicare group
NPI 1588689483 (301) 593-1315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19145 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 Craig Wieder's NPI number?

The NPI number for Craig Wieder is 1366958019. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Craig Wieder located?

Craig Wieder practices at 3600 Gateway Dr Apt 412A, Philadelphia, PA 19145. The listed phone number is (215) 704-8383.

What is Craig Wieder's specialty?

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

Is Craig Wieder enrolled in Medicare?

Yes. Craig Wieder 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.

Which organization bills Medicare for Craig Wieder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Wieder reassigns Medicare benefits to Psychogeriatric Services LLC (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Wieder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Craig Wieder was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.