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

Kelley Susan Wiese, MSW

Individual provider Clinical Social Worker · NPI 1194385633

Kelley Susan Wiese, MSW is a Clinical Social Worker in Midland, Michigan. Qualified in 1992, 34 years ago. Practices with Community Mental Health for Central Michigan, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

612 Corvus Dr
Midland, MI 48642-8111
Phone: (614) 805-2930
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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 6801103963 (MI)

Record details

NPI number1194385633
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 17, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Community Mental Health For Central Michigan — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Midland