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

Mary Jo Vanden Wymelenberg, LCSW, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720497118

Mary Jo Vanden Wymelenberg, LCSW, CSAC is a Clinical Social Worker in Green Bay, Wisconsin. Qualified in 2018, 8 years ago. Practices with Bellin Psychiatric Center Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2014
Specialties on file
2
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

301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone: (920) 433-6073
Fax: (920) 431-0333
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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 9381-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15798-132 (WI)

Record details

NPI number1720497118
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CSAC
Sole proprietorNo
NPI enumeratedAugust 11, 2014
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bellin Psychiatric Center Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay