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KELLY BAKER WIESE MSW, MPH, LCSW
NPI 1699357608
Social Worker - Clinical in San Antonio, TX

Active since April 28, 2021
9416 GARDENIA BEND DR, SAN ANTONIO, TX 78266(210) 508-1769 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Baker Wiese Msw, Mph, Lcsw NPPES

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

KELLY BAKER WIESE MSW, MPH, LCSW (NPI 1699357608) is an individual clinical provider in San Antonio, Texas, licensed in Texas (52511) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1699357608
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY BAKER WIESECredential: MSW, MPH, LCSW
Location Address9416 GARDENIA BEND DRSan Antonio, TX 78266-2522
Mailing Address9416 Gardenia Bend DrSan Antonio, TX 78266-2522 · (210) 508-1769
Phone(210) 508-1769
Sole ProprietorYes
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1699357608 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 TX · 52511
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.
9416 GARDENIA BEND DR, San Antonio, TX 78266
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Other Providers at the Same Location NPPES

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

CHRISTA ELZA
Nurse Practitioner (Family)
9416 GARDENIA BEND DR
SAN ANTONIO, TX 78266
Comal County (210) 243-0514

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 Kelly Baker Wiese's NPI number?

The NPI number for Kelly Baker Wiese is 1699357608. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Kelly Baker Wiese located?

Kelly Baker Wiese practices at 9416 Gardenia Bend Dr, San Antonio, TX 78266. The listed phone number is (210) 508-1769.

What is Kelly Baker Wiese'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 Kelly Baker Wiese was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.