Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Baker Wiese, MSW, MPH, LCSW

Individual provider Clinical Social Worker · NPI 1699357608

Kelly Baker Wiese, MSW, MPH, LCSW is a Clinical Social Worker in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
MPH — Master of Public Health
A graduate degree in population health.
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

9416 Gardenia Bend Dr
San Antonio, TX 78266-2522
Phone: (210) 508-1769
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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 52511 (TX)

Record details

NPI number1699357608
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , MPH , LCSW
Sole proprietorYes
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

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