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

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: July 26, 2026.

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

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Marriage & Family Therapist
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Marriage & Family Therapist
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Psychologist
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Marriage & Family Therapist
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Social Worker (Clinical)
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Marriage & Family Therapist
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501
Psychologist (Clinical)
4361 LATHAM ST STE 220
RIVERSIDE, CA 92501

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 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.

Where is Mary Wyman located?

Mary Wyman practices at 4361 Latham St Ste 220, Riverside, CA 92501. The listed phone number is (858) 279-1223.

What is Mary Wyman's specialty?

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

Is Mary Wyman enrolled in Medicare?

Yes. Mary Wyman 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.

When was this NPI record last updated?

The NPPES record for Mary Wyman was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.