Practitioner record · Checked 9 Oct 2026

Mary Fiumara has been in practice 40 years and is licensed in California. Mary lists stress, Anxiety, eating disorders and self esteem among 13 subjects on the BetterHelp roster.

Everything below is either quoted from Mary's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

40years in practice
13subjects listed

01 · Who Mary works with

Mary works with stress, Anxiety, eating disorders and self esteem

Mary lists 5 specialisms and 8 further focus areas. Specialisms are the subjects Mary chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Eating disorders
  • Self esteem
  • Depression
  • Coping with life changes
Also experienced with
  • Body image
  • Communication problems
  • Guilt and shame
  • Isolation / loneliness
  • Midlife crisis
  • Social anxiety and phobia
  • Women's issues
  • Young adult issues

02 · In Mary's own words

What Mary says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

As a licensed therapist in California, I bring four decades of compassionate clinical experience supporting individuals through life's complex emotional landscapes. My practice specializes in helping clients navigate challenges related to depression, anxiety, stress, eating disorders, and self-esteem issues.

I have a deep understanding of the unique experiences faced by gay individuals, older adults, and young professionals. My therapeutic approach focuses on exploring your thoughts, identifying and challenging any thinking errors, addressing communication difficulties, social anxiety, depression, isolation, guilt, shame, eating disorders, and body image concerns. I am particularly attuned to women's issues and midlife transitions.

My goal is to create a supportive, affirming environment where clients can explore their emotions, develop resilient coping strategies, and cultivate meaningful personal growth. I believe in meeting each person exactly where they are, with empathy, respect, and genuine care.

Through collaborative and personalized therapy, I help individuals build stronger self-understanding, improve emotional well-being, and move towards more fulfilling lives. I'm committed to walking alongside you in your journey of healing and self-discovery.

Mary Fiumara, on the BetterHelp listing · read 9 Oct 2026

03 · What happens next

From this page to a first session

Mary practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Mary's own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Mary at this point.

  2. Naming Mary specifically

    BetterHelp matches algorithmically by default, so asking for Mary is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Mary.

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

04 · Before you commit

2 questions worth asking Mary

Built from what Mary actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Mary's - Mary has not seen them and is under no obligation to answer any of them.

  • “With 40 years in, what has changed most in how you work?”

    Long experience is only an advantage if it has been examined. This tends to surface whether it has.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

05 · Practical details

Credentials and licensing

Credential
LCSW
Licensed in
California
Licence
CA LCSW 24929
Licence number
24929
Licence expires
31 May 2028
NPI
1376965186
Years in practice
40
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026

06 · Provenance

Where every line on this page came from

Mary's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Mary. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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