Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Ann Wilson, LCSW-R

Individual provider Clinical Social Worker · NPI 1760664338

Mary Ann Wilson, LCSW-R is a Clinical Social Worker in Penfield, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

2130 Five Mile Line Rd
Penfield, NY 14526-2292
Phone: (585) 690-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 072055 (NY)

Record details

NPI number1760664338
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedDecember 5, 2007
Last updated in NPPESJanuary 13, 2025
Certification dateDecember 31, 2024

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