Mary Kathryn Wisniewski, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802077315 Issued in MI

Practice address

17321 Telegraph Rd
Detroit, MI 48219-3132

Phone

(313) 531-2500

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548464894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 WESTWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17321 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193132",
            "telephone_number": "313-531-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "MARY KATHRYN",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802077315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn L. Wise, LLMSW
• Stefanie Lyn Wise, M.D.
• Melissa Wiseheart
• Edward Wisniewski, PA-C
• Kimberly Wisniewski, LPC
• Trisha Ann Wisniewski
• Barbara Addison Witalec, PT
• Allyn Singer Prout Witchell, MAMFT
• Dajuana Witcher
• Shadonya Natrice Witcher

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.