1. Home
  2. Directory
  3. Wisconsin
  4. Manitowoc
  5. Social Worker
  6. NPI Profile

MARY E SPAULDING APSW
NPI 1023654829
Social Worker - Clinical in Manitowoc, WI

Active since November 27, 2019PECOS EnrolledAccepts Medicare Assignment
3 RIVERVIEW DR, MANITOWOC, WI 54220(920) 645-1411 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary E Spaulding Apsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY E SPAULDING APSW (NPI 1023654829) is an individual clinical provider in Manitowoc, Wisconsin, licensed in Wisconsin (130124-121) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023654829
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY E SPAULDINGCredential: APSW
Location Address3 RIVERVIEW DRManitowoc, WI 54220-3767
Mailing Address3 Riverview DrManitowoc, WI 54220-3767
Phone(920) 645-1411
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 27, 2019
✔ NPI 1023654829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 130124-121
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3 RIVERVIEW DR, Manitowoc, WI 54220
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary E Spaulding Apsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658758164
PECOS Enrollment IDI20220520002270
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CORRIN LAURENE APPLEKAMP MS, LPC-IT, SAC-IT
Counselor (Mental Health)
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 663-1035
COURTNEY BALTHAZOR SAC-IT
Counselor (Addiction (Substance Use Disorder))
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 663-1035
ZEANNAH ALYNN HABECK SAC-IT
Counselor (Addiction (Substance Use Disorder))
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 663-1035
JENNIFER CATTANACH BSW, SAC-IT
Counselor (Addiction (Substance Use Disorder))
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 663-1035
CORE TREATMENT SERVICES, INC.
Community/Behavioral Health
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 645-1411
ASHLEY SCHINNER SAC-IT
Counselor (Addiction (Substance Use Disorder))
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 663-1035
ALEXIS MAES SAC-IT
Counselor (Addiction (Substance Use Disorder))
3 RIVERVIEW DR
MANITOWOC, WI 54220
Manitowoc County (920) 663-1035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Spaulding's NPI number?

The NPI number for Mary Spaulding is 1023654829. It was assigned to this individual provider in the NPPES registry on November 27, 2019.

Where is Mary Spaulding located?

Mary Spaulding practices at 3 Riverview Dr, Manitowoc, WI 54220. The listed phone number is (920) 645-1411.

What is Mary Spaulding's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Spaulding enrolled in Medicare?

Yes. Mary Spaulding is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Spaulding accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Quartz and UnitedHealthcare list Mary Spaulding as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Spaulding was last updated on November 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.