Michael Ralph Wiseley, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-13021 Issued in AZ

Practice address

3601 S 6TH Ave
Tucson, AZ 85723-0001

Phone

(520) 792-1450

NPI assigned

Dec 9, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Ralph Wiseley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1144598715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S PALO VERDE AVE APT B103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857132308",
            "telephone_number": "520-323-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISELEY",
        "first_name": "MICHAEL",
        "middle_name": "RALPH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-13021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WISELEY",
            "middle_name": "RALPH",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lois E. Wise, MD
• Mathew Leighton Wise, MPT
• Megan Wise, MA BCBA
• Milissa Wise, PHARM.D.
• Elizabeth Ann Wiseley, R.D., C.D.E.
• Lisa M Wispe, PNP
• Alanna Vincenza Wissick, DPT
• Ian Lewis Wissick, PT, DPT
• Elahe P. Wissinger, D.M.D.
• John James Witek, MD

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.