MARY JO VANDEN WYMELENBERG LCSW,CSAC
NPI 1720497118
Social Worker - Clinical in Green Bay, WI

Q: What is Mary Jo Vanden Wymelenberg's NPI number?

The NPI number for Mary Jo Vanden Wymelenberg is 1720497118. It was assigned to this individual provider in the NPPES registry on August 11, 2014. The provider is also known as Mary J Brice.

Q: What is Mary Jo Vanden Wymelenberg's specialty?

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

Active since August 11, 2014PECOS EnrolledAccepts Medicare Assignment

301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-6073(920) 431-0333 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 16, 2020, Jan 23, 2020, Oct 1, 2019 (3 updates tracked since 2019).

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About Mary Jo Vanden Wymelenberg Lcsw,csac NPPES

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

MARY JO VANDEN WYMELENBERG LCSW,CSAC (NPI 1720497118) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (9381-123) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720497118

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY JO VANDEN WYMELENBERGCredential: LCSW,CSAC

Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241

Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 433-6073

Fax(920) 431-0333

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 11, 2014

Last NPPES UpdateMarch 16, 20203 updates tracked since enumeration

NPPES CertifiedMarch 16, 2020

✔ NPI 1720497118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 9381-123

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15798-132 (WI)

301 E SAINT JOSEPH ST, Green Bay, WI 54301

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Other Names 1

Former Name (1)Mary J Brice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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 Jo Vanden Wymelenberg Lcsw,csac 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 ID8820329576

PECOS Enrollment IDI20191010000022

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 54301 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

DR. EMILY R RADEMACHER D.O., M.B.A.

Psychiatry & Neurology (Psychiatry)