ALLISON M WIESER (LICSW) – Clinical Social Worker, NPI 1245357201

ALLISON M WIESER (LICSW) is a healthcare provider. based in Moorhead, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 21058 (MN). The NPI Number for ALLISON M WIESER (LICSW) is 1245357201

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON M WIESER (LICSW)
NPI
1245357201
Phone
(218) 233-7524
Address
1010 32ND AVE S
Enumeration Date
23 March 2007
Last Update Date
11 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182337524
Graduation Year
2011 (15 years ago)
PAC ID
9234367780
Group Practice PAC ID
1759291891
Professional Enrollment ID
I20140108001769
Address ID
MN565605001MO1010XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for ALLISON M WIESER (LICSW)

  • 1010 32ND AVE S

    MOORHEAD, MN 565605001

    Phone: (218) 233-7524

    Fax: (218) 233-8627

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140108001769IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8215$0
View full utilization report →

Insurance plans in this area (ZIP 56560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759291891View full group profile
NameSpecialtyState
-MN
-MN
Mental Health CounselorMN
Clinical Social WorkerND
Clinical Social WorkerTX
Mental Health CounselorMN
Mental Health CounselorMN
P S Y C H I A T R YMN
Mental Health CounselorMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What unique ID ties claims to ALLISON M WIESER (LICSW)?
NPI 1245357201 is assigned to ALLISON M WIESER (LICSW) under the national enumeration system.
Is ALLISON M WIESER (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ALLISON M WIESER (LICSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for ALLISON M WIESER (LICSW). Clinical services aligned with this taxonomy classification.
What location shows for ALLISON M WIESER (LICSW)?
We surface Moorhead, Minnesota for ALLISON M WIESER (LICSW) based on available NPPES addresses.
How can I contact ALLISON M WIESER (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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