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

Individual provider Clinical Social Worker · NPI 1053968529

Mary Jean Ridges, LCSW is a Clinical Social Worker in Provo, Utah. Qualified in 1993, 33 years ago. Practices with Wasatch Behavioral Health Special Service District, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
33
Licensed in
UT
In the registry since
2019
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

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 580 E 600 S, Provo, UT 84606-4806 — (801) 367-5710

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2661863501 (UT)

Record details

NPI number1053968529
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Wasatch Behavioral Health Special Service District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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