Individual provider · Type 1 NPI

Mary D. Wisecup, MSW, LCSW

Clinical Social Worker · Wilmington, NC

NPI number 1487051561 Active

Practice location

720 N 3rd St Ste 101
Wilmington, NC 28401-3474

Call (910) 632-2191 Map

Fax (919) 251-7859

Mailing address

57 Wanchese Rd S Apt 102
Wilmington, NC 28411-8510

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009565 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1487051561

Mary D. Wisecup, MSW, LCSW's National Provider Identifier is 1487051561, issued on Dec 4, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Oct 28, 2025.