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

Holly Noelle Wiese, AM, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1962845891

Holly Noelle Wiese, AM, MSW, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2011, 15 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2013
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2150 W Harrison St
Chicago, IL 60612-3706
Phone: (312) 942-5375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2546 W Haddon Ave Unit 2, Chicago, IL 60622-0320 — (847) 431-7500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149-016197 (IL)

Record details

NPI number1962845891
Entity typeIndividual (Type 1)
GenderFemale
Credentials AM , MSW , LCSW
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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