Jyotish Wiertella, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801117216 Issued in MI

Practice address

512 School Schoolcraft Road
Marquette, MI 49855

Phone

(906) 299-3208

Fax

(906) 257-6736

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joyful Raine Therapy and Holistic Care LLC

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1528848181
  NPD Authorized official
• Meaningful Life Therapy Services LLC

  • Clinical Social Worker
  • Brighton, MI
  • NPI 1063079770
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1366806887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SCHOOLCRAFT RD",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555243",
            "telephone_number": "906-299-3208",
            "fax_number": "906-257-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SCHOOL SCHOOLCRAFT ROAD",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-299-3208",
            "fax_number": "906-257-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERTELLA",
        "first_name": "JYOTISH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802088919",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Elizabeth Johnson Wetton, DDS
• Matt Wheat
• David White
• Tyler Ren Wickett, ATC
• Susanne Marie Wicklund, DEVELOPMENT PLAN
• Cynthia Mae Wiggins, DDS
• Cameron Wilcox, MD
• Louise Kay Wilcox
• Lucy Wilcox, LLP
• Christopher A Wilkinson, D.D.S.

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.