Individual provider Active NPI

Abigail Lynn Wisniewski, LLMSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1326931445
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851119975 Issued in MI
Practice address
1714 Eastman Ave
Midland, MI 48640-4216
Phone
(989) 631-5390
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851119975 MI Primary

Addresses

Primary practice location

1714 Eastman Ave
Midland, MI 48640-4216

Mailing address

4512 N Saginaw Rd Apt 419
Midland, MI 48640-2011
Phone (989) 289-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851119975MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Childrens Services Mid-Michigan FCSM CurrentSince Jun 3, 2025 Accepting new patients

Locations

1714 Eastman Ave
Midland, MI 48640
Phone (989) 631-5390

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": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1326931445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 N SAGINAW RD APT 419",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402011",
            "telephone_number": "989-289-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.