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

Mary Lukens Wyman, LCSW

Individual provider Clinical Social Worker · NPI 1043882244

Mary Lukens Wyman, LCSW is a Clinical Social Worker in Riverside, California. Qualified in 1998, 28 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2021
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

4361 Latham St Ste 220
Riverside, CA 92501-1767
Phone: (858) 279-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2050 W Chapman Ave Ste 201, Orange, CA 92868-2649 — (214) 751-8987

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21684 (CA)

Record details

NPI number1043882244
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 15, 2021
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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