Mary R Wilkes, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124857 Issued in MA

Practice address

446 White Oaks Rd
Williamstown, MA 01267-2226

Phone

(413) 281-8191

NPI assigned

Feb 13, 2019

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Dematteo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Mary Wilkes Counseling LLC

  • Clinical Social Worker
  • North Adams, MA
  • NPI 1184454308
  NPD Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1154887305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 WHITE OAKS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672226",
            "telephone_number": "413-281-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 WHITE OAKS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672226",
            "telephone_number": "413-281-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DEMATTEO",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Walgreens #18016)
• Bria Lei Ward, OT
• Karen Lee Welch Buttars, LMHC
• Brad A Whateley, M.D.
• Andrea S. White, M.ED., M.A., CCC-SLP
• Williamstown Family Chiropractic LLC
• Williamstown Medical Associates
• Williamstown Medical Associates PC
• Williamstown Physical Therapy
• Williamstown Recovery Operator, LLC

• Clinical Social Worker in Williamstown, MA
• Providers in Williamstown, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.