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MS. MARYLYNN R. WISEMAN LCSW
NPI 1942322433
Social Worker - Clinical in Ridgewood, NJ

Active since April 04, 2007Opted out of Medicare · through Oct 1, 2027
169 DAYTON ST, RIDGEWOOD, NJ 07450(201) 445-3307 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Marylynn R. Wiseman Lcsw NPPES

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

MS. MARYLYNN R. WISEMAN LCSW (NPI 1942322433) is an individual clinical provider in Ridgewood, New Jersey, licensed in New Jersey (44SC04507100) and active in the NPI registry since April 2007. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1942322433
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARYLYNN R. WISEMANCredential: LCSW
Location Address169 DAYTON STRidgewood, NJ 07450-4407
Mailing Address169 Dayton StRidgewood, NJ 07450-4407 · (201) 445-3307
Phone(201) 445-3307
Sole ProprietorYes
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 16, 2012
✔ NPI 1942322433 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 NJ · 44SC04507100
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.
169 DAYTON ST, Ridgewood, NJ 07450
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Other Identifiers 1

Medicare ID-Type Unspecified077081NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Marylynn R. Wiseman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

PATHWAYS FOR ENHANCED LIVING, LLC
Social Worker (Clinical)
169 DAYTON ST
RIDGEWOOD, NJ 07450
Bergen County (201) 445-3307
DEBORAH BAJAKIAN
Social Worker (Clinical)
169 DAYTON ST, SUITE 4B
RIDGEWOOD, NJ 07450
Bergen County (201) 444-3753
ARNOLD SCHAM, M.D., P.A.
Psychiatry & Neurology (Psychiatry)
169 DAYTON ST
RIDGEWOOD, NJ 07450
Bergen County (201) 447-0331
MRS. MELISSA MCDERMOTT RAINES LCSW
Social Worker (Clinical)
169 DAYTON ST
RIDGEWOOD, NJ 07450
Bergen County (201) 444-4821

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 Marylynn Wiseman's NPI number?

The NPI number for Marylynn Wiseman is 1942322433. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Marylynn Wiseman located?

Marylynn Wiseman practices at 169 Dayton St, Ridgewood, NJ 07450. The listed phone number is (201) 445-3307.

What is Marylynn Wiseman's specialty?

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

Is Marylynn Wiseman enrolled in Medicare?

No. Marylynn Wiseman has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marylynn Wiseman was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.