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HOLLY NOELLE WIESE A.M., MSW, LCSW
NPI 1962845891
Social Worker - Clinical in Chicago, IL

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
2150 W HARRISON ST, CHICAGO, IL 60612(312) 942-5375 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Jul 16, 2020 (2 updates tracked since 2020).

About Holly Noelle Wiese A.m., Msw, Lcsw NPPES

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

HOLLY NOELLE WIESE A.M., MSW, LCSW (NPI 1962845891) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-016197) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962845891
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY NOELLE WIESECredential: A.M., MSW, LCSW
Location Address2150 W HARRISON STChicago, IL 60612-3706
Mailing Address248 N Clinton AveElmhurst, IL 60126-2962 · (847) 431-7500
Phone(312) 942-5375
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 10, 2013
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1962845891 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 IL · 149-016197
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.
2150 W HARRISON ST, Chicago, IL 60612
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Secondary Practice Location 1

Location 12546 W Haddon Ave Unit 2Chicago, IL 60622-0320 · Phone (847) 431-7500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Holly Noelle Wiese A.m., Msw, 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 ID5294009114
PECOS Enrollment IDI20170915001863
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 60612 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

DR. DOMINIKA ANNE WINIARSKI PHD
Psychologist (Clinical)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 563-9016
AYESHA DUA M.D.
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
NICOLE ADAMOWICZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
MARY JANE WELCH NP
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-3112
DHANYA BASKARAN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-2185
DR. ANNEKA JOHNSTON-DUMERAUF MD
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
JADA JARIA JOHNSON M.D
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
MARIA FERNANDA SOLIS
Social Worker (Clinical)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375

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 Holly Wiese's NPI number?

The NPI number for Holly Wiese is 1962845891. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Holly Wiese located?

Holly Wiese practices at 2150 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5375.

What is Holly Wiese's specialty?

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

Is Holly Wiese enrolled in Medicare?

Yes. Holly 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 Holly Wiese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Holly 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 Holly Wiese was last updated on May 20, 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.