MAKAYLA DANIELLE WIETEK
NPI 1679207872
Social Worker - Clinical in Santa Rosa, CA

Q: What is Makayla Wietek's NPI number?

The NPI number for Makayla Wietek is 1679207872. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Makayla Wietek'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 Makayla Wietek was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 July 13, 2022PECOS Enrolled

2227 CAPRICORN WAY STE 207, SANTA ROSA, CA 95407(707) 565-4810 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2026, Mar 24, 2023, Aug 8, 2022 and 1 more (4 updates tracked since 2022).

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About Makayla Danielle Wietek NPPES

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

MAKAYLA DANIELLE WIETEK (NPI 1679207872) is an individual clinical provider in Santa Rosa, California, licensed in California (138181) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679207872

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMAKAYLA DANIELLE WIETEK

Location Address2227 CAPRICORN WAY STE 207Santa Rosa, CA 95407-5486

Mailing Address2227 Capricorn Way Ste 207Santa Rosa, CA 95407-5486 · (707) 565-4810

Phone(707) 565-4810

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 13, 2022

Last NPPES UpdateApril 24, 20264 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1679207872 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 CA · 138181

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 ListedSocial WorkerTaxonomy 104100000X

2227 CAPRICORN WAY STE 207, Santa Rosa, CA 95407

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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 (PECOS)

Makayla Danielle Wietek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113490442

PECOS Enrollment IDI20260626003446

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 Makayla Wietek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

89 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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 95407 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 $63.04 – $187.01

Typical copayment $0.00 (range $15.76 – $46.75)

Most-billed visit code NA

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 20

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

STEPHANIE LUGO SANCHEZ MS

Counselor (Addiction (Substance Use Disorder))