Holly Wiese LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLLY WIESE LCSW, PLLC

Practice address

2546 W Haddon Ave Unit 2
Chicago, IL 60622-0320

Phone

(847) 431-7500

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Holly Wiese, LCSWNPI 1962845891

Title

Founder

Phone

(847) 431-7500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Noelle Wiese, A.M., MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1962845891
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1922842202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 N CLINTON AVE # 2",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262962",
            "telephone_number": "847-431-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 W HADDON AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220320",
            "telephone_number": "847-431-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY WIESE LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "847-431-7500",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Monique Holloway
• Zachariah Allen Holloway
• Holloways Home Care
• Courtney Hollowell, MD
• Holly Johnson Carr, LCSW, PLLC
• Leanne Holly, LCSW
• Margaret Holly
• Heather Rae Hollysmith, LMFT, MS
• Erica Leigh Holm, M.S.
• Iris Holman

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.