Kelsey Wisotsky

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801098216 Issued in MI

Practice address

24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212

Phone

(248) 921-4666

NPI assigned

Aug 26, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Orchards Children'S Services, Inc

  • Community/Behavioral Health Agency
  • Sterling Heights, MI
  • NPI 1700093143
  NPD

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1700286994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23424 BEVERLY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822122",
            "telephone_number": "248-921-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752212",
            "telephone_number": "248-921-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISOTSKY",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisdom Home Health Care Inc
• John Anthony Wise, FNP-C
• Susan Lynn Wise, LMSW
• Stephanie Wisniewski, TLLP
• Sydney Wisniewski
• Omeria Witcher, LLMSW
• Caitlyn Marie Witek, LMSW
• With Ease Transportation
• With Mom in Mind,LLC
• Elizabeth Witt-Kreiner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.