Individual provider Active NPI

Kassie Jo Weiland, LIMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1174826945
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083230 Issued in MI
Practice address
2737 Holyoke LN
Ann Arbor, MI 48103-2202
Phone
(734) 474-7259
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401002996 MI
Clinical Social Worker 1041C0700X 6801083230 MI Primary

Addresses

Primary practice location

2737 Holyoke LN
Ann Arbor, MI 48103-2202

Mailing address

2737 Holyoke LN
Ann Arbor, MI 48103-2202
Phone (734) 474-7259

Other names 1

  • Ms. Kassie Jo Dunn-Weiland Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160913000249 MI Practitioner - Clinical Social Worker 6608162946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401002996MIMDProfessional Counselor
6801083230MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling Services LLC Professional CurrentSince Jun 5, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1174826945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 HOLYOKE LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032202",
            "telephone_number": "734-474-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 HOLYOKE LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032202",
            "telephone_number": "734-474-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "KASSIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LIMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIE",
            "last_name": "DUNN-WEILAND",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.