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MARY ANGELYN VAUGHAN LCSW
NPI 1073962072
Social Worker - Clinical in Memphis, TN

Active since June 09, 2016PECOS Enrolled
1975 MANILA AVE, MEMPHIS, TN 38114(662) 380-0619 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 28, 2023, May 15, 2023, Dec 17, 2020 and 2 more (5 updates tracked since 2020).

About Mary Angelyn Vaughan Lcsw NPPES

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

MARY ANGELYN VAUGHAN LCSW (NPI 1073962072) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (7403) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1073962072
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ANGELYN VAUGHANCredential: LCSW
Location Address1975 MANILA AVEMemphis, TN 38114-1746
Mailing Address1975 Manila AveMemphis, TN 38114-1746
Phone(662) 380-0619
Sole ProprietorYes
Enumeration DateJune 9, 2016
Last NPPES UpdateAugust 28, 20235 updates tracked since enumeration
NPPES CertifiedAugust 27, 2023
✔ NPI 1073962072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 7403
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.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 000591406 (TN)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1975 MANILA AVE, Memphis, TN 38114
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Secondary Practice Location 1

Location 15583 Murray Ave Ste 208Memphis, TN 38119-0807 · Phone (901) 713-0741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Angelyn Vaughan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38114 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 $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Vaughan's NPI number?

The NPI number for Mary Vaughan is 1073962072. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Mary Vaughan located?

Mary Vaughan practices at 1975 Manila Ave, Memphis, TN 38114. The listed phone number is (662) 380-0619.

What is Mary Vaughan's specialty?

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

Is Mary Vaughan enrolled in Medicare?

Yes. Mary Vaughan is registered in the Medicare PECOS enrollment system.

What insurance does Mary Vaughan accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Mary Vaughan 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 Vaughan was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.