Active NPI
Michael James Weidman II, MSW, LCSW, SAC
- Clinical Social Worker
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8211-123
- Practice address
- 6737 W Washington St Ste 1300
West Allis, WI 53214-5636 - Phone
- (414) 358-7144
- Fax
- (414) 358-7158
- NPI assigned
- Jun 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8211-123 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16604-130 | WI |
Addresses
Primary practice location
6737 W Washington St Ste 1300
West Allis, WI 53214-5636
Mailing address
136 N Main St Ste 302
Thiensville, WI 53092-1676
Phone (262) 686-4478
Other practice location 1
136 N Main St Ste 302
Thiensville, WI 53092-1676
Phone (262) 686-4478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6737 W Washington St
Suite 1300
West Allis, WI 53214-5636
Phone (414) 358-7144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16604-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 8211-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternatives in Psychological Consultation, S.C. | Current | Accepting new patients | |
| Via Therapy LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
136 N Main St
Ste 302
Thiensville, WI 53092
Phone (262) 686-4478
10045 W Lisbon Ave
Wauwatosa, WI 53222
Phone (414) 358-7144
6737 W Washington St
Ste 1300
West Allis, WI 53214
Phone (414) 358-7144
Organizations & group practices 2
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.
-
- Mental Health Counselor
- West Allis, WI
- NPI 1528151198
-
- Clinical Social Worker
- Thiensville, WI
- NPI 1114886934
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1467714428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N MAIN ST STE 302",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921676",
"telephone_number": "262-686-4478",
"fax_number": "262-208-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6737 W WASHINGTON ST STE 1300",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532145636",
"telephone_number": "414-358-7144",
"fax_number": "414-358-7158"
}
],
"practiceLocations": [
{
"address_1": "136 N Main St Ste 302",
"address_purpose": "LOCATION",
"city": "Thiensville",
"state": "WI",
"postal_code": "530921676",
"country_code": "US",
"telephone_number": "262-686-4478",
"fax_number": "262-208-1483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIDMAN",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MSW, LCSW, SAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8211-123",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16604-130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.