Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Anne Millare Wenceslao, LCSW, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427236876

Mary Anne Millare Wenceslao, LCSW, LCDC is a Clinical Social Worker in Lewisville, Texas. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

926 Witherby Ln
Lewisville, TX 75067-4477
Phone: (888) 317-7021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 51086 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10883 (TX)

Record details

NPI number1427236876
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCDC
Sole proprietorYes
NPI enumeratedFebruary 7, 2008
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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