Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jena Mary Wielgosz, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1356148761

MS. Jena Mary Wielgosz, CCC-SLP is a Qualified Speech Language Pathologist in Clinton Twp, Michigan. Graduated from Wayne State University School of Medicine in 2024, 2 years ago. Practices with Crawl Walk Jump Run Therapy Clinic LLC, a 13-clinician group and works from 2 locations. Licensed in Michigan.

Years since qualifying
2
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

42804 Garfield Rd
Clinton Twp, MI 48038-1656
Phone: (586) 307-6134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 65800 Van Dyke Rd, Washington, MI 48095-2041 — (586) 945-4449

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101009336 (MI)

Record details

NPI number1356148761
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Crawl Walk Jump Run Therapy Clinic Llc — 13 clinicians
Accepts Medicare assignment Not indicated

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