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

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: August 09, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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 4

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

FAIRPORT ACUPUNCTURE & WELLNESS, P.C.
Acupuncturist
2130 FIVE MILE LINE RD
PENFIELD, NY 14526
Monroe County (585) 381-8280
PENELOPE A. SOMERSET LAC.
Acupuncturist
2130 FIVE MILE LINE RD
PENFIELD, NY 14526
Monroe County (585) 381-8280
MELANIE KATES MD PC
Internal Medicine
2130 FIVE MILE LINE RD
PENFIELD, NY 14526
Monroe County (585) 641-0574
MARY ANN WILSON LCSW PLLC
Social Worker (Clinical)
2130 FIVE MILE LINE RD
PENFIELD, NY 14526
Monroe County (585) 270-1119

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 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.

Where is Mary Ann Wilson located?

Mary Ann Wilson practices at 2130 Five Mile Line Rd, Penfield, NY 14526. The listed phone number is (585) 690-0890.

What is Mary Ann Wilson's specialty?

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

Is Mary Ann Wilson enrolled in Medicare?

Yes. Mary Ann Wilson is registered in the Medicare PECOS enrollment system.

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 18 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.