Individual provider Active NPI

Michael James Weidman II, MSW, LCSW, SAC

  • Clinical Social Worker
  • West Allis, WI
National Provider Identifier
1467714428
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8211-123 Issued in WI
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

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022000196 WI Practitioner - Clinical Social Worker 3779892377 Reassigns benefits to 1 organization

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
Alternatives in Psychological Consultation SCGroup PAC ID 9133171960, 8 clinicians

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

LicenseStateTypeSpecialty
16604-130WIMDAddiction (Substance Use Disorder) Counselor
8211-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives in Psychological Consultation, S.C. CurrentSince Sep 28, 2015 Accepting new patients
Via Therapy LLC Addiction (Substance Use Disorder) CurrentSince Sep 1, 2026 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.

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

Verify at the official NPI Registry.