Julie Michelle Wiechens, M.S.W., L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001022988 Issued in MO

Practice address

2440 Executive Dr
Suite 210
Saint Charles, MO 63303-5607

Phone

(636) 447-1902

Fax

(636) 447-1902

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JW Mediation & Therapy, LLC

  • Clinical Social Worker
  • Saint Charles, MO
  • NPI 1861730616
  Medicare reassignment NPD Authorized official
• Bradke Counseling, LLC

  • Clinical Social Worker
  • Saint Charles, MO
  • NPI 1043707847
  NPD (past)
• Comprehensive Mental Health, Inc

  • Clinical Social Worker
  • Saint Charles, MO
  • NPI 1306026539
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1124108527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035607",
            "telephone_number": "636-447-1902",
            "fax_number": "636-447-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035607",
            "telephone_number": "636-447-1902",
            "fax_number": "636-447-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECHENS",
        "first_name": "JULIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001022988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION",
            "identifier": "300138569",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION",
            "identifier": "194696",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494785314",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION",
            "identifier": "539410",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Wicks, D.C.
• Raymond Wiegand, DC
• Marylouise Wies
• Janiece Wieschhaus, LCSW
• Megan Wilhelm
• Wilks Chiropractic

• Clinical Social Worker in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.