MS. MARY CORA BIRD – Clinical Social Worker, NPI 1912062951

MS. MARY CORA BIRD is a healthcare provider. based in Jacksonville beach, Florida. specializing in CLINICAL SOCIAL WORKER. They hold a License No. SW806 (FL). The NPI Number for MS. MARY CORA BIRD is 1912062951

Main info

Female
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY CORA BIRD
NPI
1912062951
Phone
(904) 249-6264
Address
1361 13TH AVE S
Enumeration Date
27 December 2006
Last Update Date
17 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042496264
Graduation Year
1975 (51 years ago)
PAC ID
6901814276
Professional Enrollment ID
I20060328000453
Address ID
FL322503236JA1361XSXXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for MS. MARY CORA BIRD

  • 1361, 13th Avenue South, Oceanside Park, Jacksonville Beach, Duval County, Florida, 32250, United States

    SUITE 215

    JACKSONVILLE BEACH, FL 322503233

    Phone: (904) 249-6264

    Type: Location

  • 704, Bonaire Circle, Ocean Cay, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE BEACH, FL 322503932

    Phone: (904) 249-6264

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060328000453IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32250)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. MARY CORA BIRD?
MS. MARY CORA BIRD — NPI 1912062951 — is the standard way to identify this listing.
Does CMS list MS. MARY CORA BIRD as active?
Yes — MS. MARY CORA BIRD is active in the NPI listing used on this page.
What is MS. MARY CORA BIRD best known for clinically?
Directory data describes MS. MARY CORA BIRD with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MS. MARY CORA BIRD based?
MS. MARY CORA BIRD is tied to Jacksonville Beach, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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