Individual provider Active NPI

Leslie Geralyn Wiemer, MSW

  • Clinical Social Worker
  • Redford, MI
National Provider Identifier
1356473698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
947757 Issued in MI
Practice address
25945 W 7 Mile Rd
Redford, MI 48240-1808
Phone
(313) 535-6560
Fax
(313) 535-5266
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 947757 MI Primary

Addresses

Primary practice location

25945 W 7 Mile Rd
Redford, MI 48240-1808

Mailing address

5134 Fleming
Dearborn Heights, MI 48125
Phone (313) 562-0839

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
I20140321001568 MI Practitioner - Clinical Social Worker 2769613462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Guidance CenterGroup PAC ID 8022171735, 25 clinicians

Practice addresses (Care Compare)

13101 Allen Rd
Southgate, MI 48195-2216
Phone (734) 785-7700

13333 Allen Rd
Southgate, MI 48195-2216

19401 Northline Rd
Southgate, MI 48195-2277
Phone (734) 785-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
947757MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center CurrentSince Feb 3, 2014 Accepting new patients
Redford Counseling Past Accepting new patients
Elyse Fine LMSW Acsw PLLC Clinical Past Accepting new patients

Locations

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

13101 Allen Rd
Bldg 4A
Southgate, MI 48195

19291 Northline Rd
Southgate, MI 48195
Phone (734) 287-1500

19401 Northline Rd
Southgate, MI 48195
Phone (734) 785-7718

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356473698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 FLEMING",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-562-0839",
            "fax_number": "313-535-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25945 W 7 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401808",
            "telephone_number": "313-535-6560",
            "fax_number": "313-535-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMER",
        "first_name": "LESLIE",
        "middle_name": "GERALYN",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "947757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.