Katie Millis Wyss, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095274 Issued in MI

Practice address

218 N 4TH Ave Ste 207
Ann Arbor, MI 48104-1472

Phone

(734) 926-9189

NPI assigned

Apr 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Katie M Wyss LMSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ann Arbor, MI
  • NPI 1558978593
  NPD Authorized official

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1437593324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SHILOH DR",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189053",
            "telephone_number": "734-926-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 4TH AVE STE 207",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041472",
            "telephone_number": "734-926-9189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Shiloh Dr",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481189053",
            "country_code": "US",
            "telephone_number": "312-576-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYSS",
        "first_name": "KATIE",
        "middle_name": "MILLIS",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jill Wyczalek, PA-C
• Michael Wyderko, MD
• Kristie Wyler, MA, LLP
• Andrew Thomas Wylie, LLMSW
• Angela L Wysocki, NP
• Victoria Ann Wytiaz, MD
• Jonathan Yu Xia, MD, PHD
• Connie Xiao, MD
• Yiqi Xiao
• Minou Xie, NP

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.