MARY LUKENS WYMAN LCSW
NPI 1043882244
Social Worker - Clinical in Riverside, CA

Q: What is Mary Wyman's NPI number?

The NPI number for Mary Wyman is 1043882244. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Mary Wyman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Wyman was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2021PECOS EnrolledAccepts Medicare Assignment

4361 LATHAM ST STE 220, RIVERSIDE, CA 92501(858) 279-1223 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2025, Jul 15, 2021 (2 updates tracked since 2021).

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About Mary Lukens Wyman Lcsw NPPES

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

MARY LUKENS WYMAN LCSW (NPI 1043882244) is an individual clinical provider in Riverside, California, licensed in California (21684) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043882244

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY LUKENS WYMANCredential: LCSW

Location Address4361 LATHAM ST STE 220Riverside, CA 92501-1767

Mailing Address4361 Latham St Ste 220Riverside, CA 92501-1767 · (858) 279-1223

Phone(858) 279-1223

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 15, 2021

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1043882244 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 CA · 21684

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.

4361 LATHAM ST STE 220, Riverside, CA 92501

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Secondary Practice Location 1

Location 12050 W Chapman Ave Ste 201Orange, CA 92868-2649 · Phone (214) 751-8987

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Lukens Wyman Lcsw 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 ID3072911221

PECOS Enrollment IDI20211001002723

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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Wyman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eagan Medical Group, Inc.

40 mi

Psychiatry

7677 CENTER AVE STE 405
Huntington Beach, CA 92647

Reassigned Medicare billing, California enrollment
17 clinicians in this Medicare group

NPI 1265946289 (714) 828-1800

Pacific Coast Psychiatric Associates Inc

315 mi

Clinical

7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253

Reassigned Medicare billing, California enrollment
766 clinicians in this Medicare group

NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92501 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 $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 20

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

KRYSTAL AMANDA VELASCO HERNANDEZ PMHNP

Nurse Practitioner (Psychiatric/Mental Health)