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

Mary Jean Carpenter, LISW, MSW

Individual provider Clinical Social Worker · NPI 1750881660

Mary Jean Carpenter, LISW, MSW is a Clinical Social Worker in Sidney, Ohio. Graduated from Ohio State University College of Medicine in 2010, 16 years ago. Practices with Journey 4 Self LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2018
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2338 Aldrin Dr
Sidney, OH 45365
Phone: (937) 902-2183
Fax: (937) 498-1052
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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 I1800969 (OH)

Record details

NPI number1750881660
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW , MSW
Sole proprietorYes
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Journey 4 Self Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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