Brenda Wiese, MSW LICSW is a
Social Worker - Clinical based in Willmar, Minnesota. Brenda Wiese is licensed to practice in Minnesota (license number 8625) and her current practice location is
1617 Hwy 12 E, Suite 230, Willmar, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 894-2741.
NPI number for Brenda Wiese is 1700294881 and her current mailing address is 1617 Highway 12 E Ste 230, Willmar, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700294881.
Healthcare Provider's Profile
| Full Name | Brenda Wiese |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 1617 Hwy 12 E, Suite 230, Willmar, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700294881
- Provider Enumeration Date: 08/01/2014
- Last Update Date: 08/01/2014
Medical Identifiers
Medical identifiers for Brenda Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700294881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 8625 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8625 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Wiese is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda Wiese, MSW LICSW
1617 Highway 12 E Ste 230,
Willmar, MN 56201-5816
Ph: (320) 894-2741 | Brenda Wiese, MSW LICSW
1617 Hwy 12 E, Suite 230,
Willmar, MN 56201
Ph: (320) 894-2741 |
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