Doctor profile · Federal record

Dr. Mary Jo Vanden Wymelenberg, LCSW,CSAC

Clinical Social Worker · Addiction (Substance Use Disorder) Counselor · Green Bay, WI

  • NPI 1720497118
  • Accepts Medicare
  • 8 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
301 E Saint Joseph St
Green Bay, WI 543012241
(920) 433-6073
fax (920) 431-0333
Mailing address
Po Box 22040
Green Bay, WI 543052040

Credentials & registration

NPPES · NUCC
NPI registered
August 2014 — 12 yrs on file
Profile last updated
March 16, 2020
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
Wisconsin #9381-123 · Wisconsin #15798-132

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1720497118. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
87
Distinct HCPCS
1
Medicare allowed
$6,260
HCPCS Description Services Patients Avg allowed
90834 Psychotherapy, 45 minutes 87 11 $72

In context: peer comparison

Among 4 peers in Green Bay Clinical Social Worker, average services per provider: 158. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary Jo Vanden Wymelenberg's medical specialty?
Dr. Mary Jo Vanden Wymelenberg practices Clinical Social Worker in Green Bay, WI.
Where does Dr. Mary Jo Vanden Wymelenberg practice?
Dr. Mary Jo Vanden Wymelenberg practices at 301 E Saint Joseph St, Green Bay, WI 543012241. Office phone: 9204336073.
What is Dr. Mary Jo Vanden Wymelenberg's NPI?
Dr. Mary Jo Vanden Wymelenberg's National Provider Identifier (NPI) is 1720497118, issued by NPPES.
Does Dr. Mary Jo Vanden Wymelenberg accept Medicare assignment?
Yes. Dr. Mary Jo Vanden Wymelenberg accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Jo Vanden Wymelenberg commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834). Source: CMS Medicare Physician & Other Practitioners file.