MRS. MARY SUZANNE WOLFENBARGER LCSW
NPI 1962558114
Social Worker - Clinical in O Fallon, IL

Active since January 28, 2007
822 W STATE ST, O FALLON, IL 62269(618) 632-9660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Suzanne Wolfenbarger Lcsw NPPES

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

MRS. MARY SUZANNE WOLFENBARGER LCSW (NPI 1962558114) is an individual clinical provider in O Fallon, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1962558114
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY SUZANNE WOLFENBARGERCredential: LCSW
Location Address822 W STATE STO Fallon, IL 62269-1808
Mailing Address822 W State StO Fallon, IL 62269-1808 · (618) 632-9660
Sole ProprietorYes
Enumeration DateJanuary 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1962558114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

822 W STATE ST, O Fallon, IL 62269

Other Identifiers 1

Medicare ID-Type Unspecified373710IL · Lcsw

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 Wolfenbarger's NPI number?

The NPI number for Mary Wolfenbarger is 1962558114. It was assigned to this individual provider in the NPPES registry on January 28, 2007.

Where is Mary Wolfenbarger located?

Mary Wolfenbarger practices at 822 W State St, O Fallon, IL 62269. The listed phone number is (618) 632-9660.

What is Mary Wolfenbarger's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Wolfenbarger was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.