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

Individual provider Clinical Social Worker · NPI 1780272112

Mary Molyneaux, LCSW is a Clinical Social Worker in Evanston, Illinois. Qualified in 2004, 22 years ago. Practices with Brightside Medical PA, a 95-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2020
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

835 Judson Ave Apt 208
Evanston, IL 60202-2431
Phone: (773) 627-7854
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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 149014259 (IL)

Record details

NPI number1780272112
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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