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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013611581

Mary E Wiseman, CDCA, SWA is an Addiction (Substance Use Disorder) Counselor in Lancaster, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

111 S Broad St Ste 209
Lancaster, OH 43130-4383
Phone: (440) 260-8300
Fax: (440) 260-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 188413 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1013611581
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA , SWA
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address434 Eastland Rd, Berea, OH 44017-1217

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