KIMBERLY ANN WIELGUS LCSW
NPI 1972234672
Social Worker - Clinical in Port Murray, NJ

Active since June 22, 2022Opted out of Medicare · through Apr 1, 2028
27 ROCKPORT RD, PORT MURRAY, NJ 07865(908) 377-9403 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Wielgus Lcsw NPPES

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

KIMBERLY ANN WIELGUS LCSW (NPI 1972234672) is an individual clinical provider in Port Murray, New Jersey, licensed in New Jersey (44SC05812000) and active in the NPI registry since June 2022. She has opted out of Medicare through April 1, 2028 and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972234672
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY ANN WIELGUSCredential: LCSW
Location Address27 ROCKPORT RDPort Murray, NJ 07865-4125
Mailing Address27 Rockport RdPort Murray, NJ 07865-4125 · (908) 377-9403
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1972234672 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 NJ · 44SC05812000
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.
27 ROCKPORT RD, Port Murray, NJ 07865

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kimberly Ann Wielgus Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
118 services13 patients

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 Kimberly Wielgus's NPI number?

The NPI number for Kimberly Wielgus is 1972234672. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Kimberly Wielgus located?

Kimberly Wielgus practices at 27 Rockport Rd, Port Murray, NJ 07865. The listed phone number is (908) 377-9403.

What is Kimberly Wielgus's specialty?

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

Is Kimberly Wielgus enrolled in Medicare?

No. Kimberly Wielgus has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Wielgus was last updated on June 22, 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.