Individual provider · Type 1 NPI

Autumn Wiese, MSW, LMSW

Clinical Social Worker · Niles, MI

NPI number 1861278095 Active

Practice location

20 N 2nd St
Niles, MI 49120-2259

Mailing address

20 N 2nd St Ste 101
Niles, MI 49120-2259

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801120987 (MI)

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…

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About NPI 1861278095

Autumn Wiese, MSW, LMSW's National Provider Identifier is 1861278095, issued on Sep 4, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, MI. The record was last updated on Oct 30, 2026.