MARY KATHERINE LILLY LICSW
NPI 1285013888
Social Worker - Clinical in West Union, IA

Q: What is Mary Lilly's NPI number?

The NPI number for Mary Lilly is 1285013888. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Q: What is Mary Lilly'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 Lilly was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 28, 2015PECOS EnrolledAccepts Medicare Assignment

112 JEFFERSON ST, WEST UNION, IA 52175(563) 422-3811 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Nov 20, 2023, May 19, 2020 (3 updates tracked since 2020).

On this page

About Mary Katherine Lilly Licsw NPPES

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

MARY KATHERINE LILLY LICSW (NPI 1285013888) is an individual clinical provider in West Union, Iowa, licensed in Iowa (136724) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285013888

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY KATHERINE LILLYCredential: LICSW

Location Address112 JEFFERSON STWest Union, IA 52175-1022

Mailing Address112 Jefferson StWest Union, IA 52175-1022 · (563) 422-3811

Phone(563) 422-3811

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 28, 2015

Last NPPES UpdateJune 5, 20263 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1285013888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IA · 136724✔ Licensed in WV · DP00940388✔ Licensed in TX · 111436

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.

112 JEFFERSON ST, West Union, IA 52175

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield West Virginia and more.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 Katherine Lilly Licsw 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 ID8820302565

PECOS Enrollment IDI20260226003334

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 Lilly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palmer Lutheran Health Center, Inc.

Same address

Critical Access

112 JEFFERSON STREET
West Union, IA 52175

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1598765398 (Iowa)
155 clinicians in this Medicare group

NPI 1891744108 (563) 422-3811

Evizzit Of Iowa Psychiatry PC

138 mi

Adult Mental Health

1501 42ND ST STE 120
West Des Moines, IA 50266

Reassigned Medicare billing, Iowa enrollment
61 clinicians in this Medicare group

NPI 1679233183 (855) 270-3625

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 52175 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 $52.96 – $161.40

Typical copayment $0.00 (range $13.24 – $40.35)

Most-billed visit code NA

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

MR. RICHARD YNGVE JACOBSON JR. CRNA

Nurse Anesthetist, Certified Registered