MARY ANN WILSON LCSW-R
NPI 1760664338
Social Worker - Clinical in Penfield, NY

Q: What is Mary Ann Wilson's NPI number?

The NPI number for Mary Ann Wilson is 1760664338. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Q: What is Mary Ann Wilson'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 Ann Wilson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 December 05, 2007PECOS Enrolled

2130 FIVE MILE LINE RD, PENFIELD, NY 14526(585) 690-0890 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mary Ann Wilson Lcsw-r NPPES

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

MARY ANN WILSON LCSW-R (NPI 1760664338) is an individual clinical provider in Penfield, New York, licensed in New York (072055) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760664338

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY ANN WILSONCredential: LCSW-R

Location Address2130 FIVE MILE LINE RDPenfield, NY 14526-2292

Mailing Address2130 Five Mile Line RdPenfield, NY 14526-2292 · (585) 690-0890

Phone(585) 690-0890

Sole ProprietorNo

Enumeration DateDecember 5, 2007

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedDecember 31, 2024

✔ NPI 1760664338 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 NY · 072055

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.

2130 FIVE MILE LINE RD, Penfield, NY 14526

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Other Identifiers 1

Medicaid03350007NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Wilson Lcsw-r 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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Ann Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Penfield Psychiatry PC

1.8 mi

Psychiatry

421 PENBROOKE DR, SUITE 12 A
Penfield, NY 14526

Reassigned Medicare billing, New York enrollment
40 clinicians in this Medicare group

NPI 1649544115 (585) 388-6000

The Unity Hospital Of Rochester

7.1 mi

General Acute Care Hospital

100 KINGS HWY S
Rochester, NY 14617

Reassigned Medicare billing, New York enrollment
1,442 clinicians in this Medicare group

NPI 1457395766 (585) 922-1900

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 14526 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 $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAIRPORT ACUPUNCTURE & WELLNESS, P.C.

Acupuncturist