MR. CHRISTOPHER G. O'ROURKE (LICSW) – Clinical Social Worker, NPI 1093852782

MR. CHRISTOPHER G. O'ROURKE (LICSW) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1029322 (MA). The NPI Number for MR. CHRISTOPHER G. O'ROURKE (LICSW) is 1093852782

Main info

Male
Sole Proprietor
45 Years Of Experience
Name
MR. CHRISTOPHER G. O'ROURKE (LICSW)
NPI
1093852782
Phone
(617) 353-3047
Address
185 BAY STATE RD
Enumeration Date
31 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176438000
Graduation Year
1981 (45 years ago)
PAC ID
3678765492
Group Practice PAC ID
8224043971
Professional Enrollment ID
I20101012000003
Address ID
MA021131901BO332XXSTXX300
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

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MR. CHRISTOPHER G. O'ROURKE (LICSW)

  • 185, Bay State Road, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    BOSTON, MA 022151506

    Phone: (617) 353-3047

    Fax: (617) 353-5539

    Type: Location

  • 238, South Huntington Avenue, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    UNIT #12A

    JAMAICA PLAIN, MA 021304809

    Phone: (617) 817-3977

    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: 2010-10-12

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
I20101012000003IClinical Social WorkerMATBD

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 02215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224043971View full group profile
NameSpecialtyState
-MA
P O D I A T R YMA
P S Y C H I A T R YMA
-NY
Internal MedicineMD
P O D I A T R YMA
Clinical Social WorkerMA
Nurse PractitionerMA
P S Y C H I A T R YCA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Where can patients find MR. CHRISTOPHER G. O'ROURKE (LICSW)'s NPI?
You can confirm MR. CHRISTOPHER G. O'ROURKE (LICSW) with NPI 1093852782; it appears in the national provider directory.
Is MR. CHRISTOPHER G. O'ROURKE (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. CHRISTOPHER G. O'ROURKE (LICSW)'s specialty in plain language?
Clinically, the directory lists MR. CHRISTOPHER G. O'ROURKE (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MR. CHRISTOPHER G. O'ROURKE (LICSW)?
We surface Boston, Massachusetts for MR. CHRISTOPHER G. O'ROURKE (LICSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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