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

Mary D Wisecup, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1487051561

Mary D Wisecup, MSW, LCSW is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2011, 15 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2014
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

720 N 3rd St Ste 101
Wilmington, NC 28401-3474
Phone: (910) 632-2191
Fax: (919) 251-7859
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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 C009565 (NC)

Record details

NPI number1487051561
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedDecember 4, 2014
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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