Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Craig Andrew Wieder, LSW

Individual provider Clinical Social Worker · NPI 1366958019

Craig Andrew Wieder, LSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Psychogeriatric Services LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2017
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

3600 Gateway Dr Apt 412A
Philadelphia, PA 19145-5940
Phone: (215) 704-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW024484 (PA)

Record details

NPI number1366958019
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedDecember 18, 2017
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Psychogeriatric Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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