Individual provider Active NPI

Mary Wilcox, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1861271611
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026569 Issued in PA
Practice address
2800 W 21St St
Erie, PA 16506-2980
Phone
(814) 790-4003
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 CW026569 PA Primary
Social Worker 104100000X SW135375 PA

Addresses

Primary practice location

2800 W 21St St
Erie, PA 16506-2980

Mailing address

2800 W 21St St
Erie, PA 16506-2980
Phone (814) 790-4003

Other practice location 1

4320 Dexter Ave
Erie, PA 16504-2444
Phone (814) 825-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260310004481 PA Practitioner - Clinical Social Worker 3577046317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abcs of Building Better Lives LLCGroup PAC ID 9931367950, 16 clinicians

Practice addresses (Care Compare)

4320 Dexter Ave
Eric, PA 16504-2444
Phone (814) 825-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135375PAMDSocial Worker
CW026569PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abcs of Building Better Lives LLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

5934 Old French Rd
Erie, PA 16509
Phone (814) 825-2930

4320 Dexter Ave
Erie, PA 16504
Phone (814) 825-2930

Organizations & group practices 1

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1861271611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 21ST ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062980",
            "telephone_number": "814-790-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 21ST ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062980",
            "telephone_number": "814-790-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Dexter Ave",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165042444",
            "country_code": "US",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026569",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.