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

Individual provider Clinical Social Worker · NPI 1821730375

Mary Ella Witebsky, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Center for Human Potential Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2022
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

265 E 100 S Ste 250
Salt Lake City, UT 84111-1643
Phone: (801) 483-2447
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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 11465715-3501 (UT)

Record details

NPI number1821730375
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Center For Human Potential Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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