Individual provider · Type 1 NPI
Michael James Weidman Ii, MSW, LCSW, SAC
Clinical Social Worker · Thiensville, WI
Practice location
136 N Main St Ste 302
Thiensville, WI 53092-1676
Fax (262) 208-1483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 8211-123 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16604-130 (WI) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1467714428
Michael James Weidman Ii, MSW, LCSW, SAC's National Provider Identifier is 1467714428, issued on Jun 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Thiensville, WI. The record was last updated on Sep 18, 2026.