MARY JEAN RIDGES LCSW
NPI 1053968529
Social Worker - Clinical in Provo, UT

Q: What is Mary Jean Ridges's NPI number?

The NPI number for Mary Jean Ridges is 1053968529. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Mary Jean Ridges'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 Jean Ridges was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 August 20, 2019PECOS EnrolledAccepts Medicare Assignment

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mary Jean Ridges Lcsw NPPES

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

MARY JEAN RIDGES LCSW (NPI 1053968529) is an individual clinical provider in Provo, Utah, licensed in Utah (2661863501) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1053968529

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY JEAN RIDGESCredential: LCSW

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateAugust 20, 2019

✔ NPI 1053968529 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 UT · 2661863501

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.

750 N FREEDOM BLVD, Provo, UT 84601

Open in Google Maps ↗

Secondary Practice Location 1

Location 1580 E 600 SProvo, UT 84606-4806 · Phone (801) 367-5710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

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 Jean Ridges 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 ID5193611192

PECOS Enrollment IDI20040226000154

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 Reassignment

Medicare enrollment records show Mary Jean Ridges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wasatch Behavioral Health Special Service District

Same address

Community/Behavioral Health

750 N FREEDOM BLVD, SUITE 300
Provo, UT 84601

Reassigned Medicare billing, Utah enrollment
141 clinicians in this Medicare group

NPI 1356357115 (801) 373-4760

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 84601 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 $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

ELIZA RACHELLE GEDGE PH.D., LP

Psychologist (Clinical)