IndividualActive
Mary Wiseman, CDCA, SWA
NPI 1013611581 · Community Health Worker · Lancaster, OH
Provider details
- NPI number
- 1013611581
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- CDCA, SWA
- Sex
- Female
- Sole proprietor
- No
- License
- 188413 (OH)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 S Broad St Ste 209
Lancaster, OH 43130-4383
Phone: (440) 260-8300
Fax: (440) 260-8575
Street-level locationGet directions
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.