Individual provider Active NPI

Mary K Wright, LISW-S

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1083761597
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009736-S Issued in OH
Practice address
5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone
(614) 558-2440
Fax
(330) 365-5503
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0009736 OH
Clinical Social Worker 1041C0700X I-0009736-S OH Primary

Addresses

Primary practice location

5011 Pine Creek Dr
Westerville, OH 43081-4849

Mailing address

5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone (614) 774-1120

Other practice location 1

1165 Colony Dr
Westerville, OH 43081-3653
Phone (614) 948-3273

Other practice location 2

500 Morse Rd
Columbus, OH 43214-1833
Phone (614) 948-3273

Other practice location 3

5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone (614) 948-3273

Other practice location 4

623 Park Meadow Rd Ste H
Westerville, OH 43081-2876
Phone (614) 948-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000102 OH Practitioner - Clinical Social Worker 8224072673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Behavioral Health Services, Inc.Group PAC ID 6002164845, 15 clinicians

Practice addresses (Care Compare)

623 Park Meadow Rd
Suite H
Westerville, OH 43081-2876
Phone (614) 948-3273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009736-SOHMDClinical Social Worker
I0009736OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Respite Connections, Inc. Current Accepting new patients
Serenity Behavioral Health Services, Inc. CurrentSince Jun 20, 2018 Accepting new patients
Serenity Behavioral Health Services Clinical Current Accepting new patients

Locations

495 E Mound St
Ste 110
Columbus, OH 43215
Phone (614) 948-3273

623 Park Meadow Rd
Ste H
Westerville, OH 43081
Phone (614) 774-1120

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1083761597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 PINE CREEK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814849",
            "telephone_number": "614-774-1120",
            "fax_number": "855-740-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 PINE CREEK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814849",
            "telephone_number": "614-558-2440",
            "fax_number": "330-365-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Colony Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430813653",
            "country_code": "US",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Morse Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141833",
            "country_code": "US",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5011 Pine Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430814849",
            "country_code": "US",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 Park Meadow Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812876",
            "country_code": "US",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009736",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009736-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.