MS. MARY ELLEN DWYER – Clinical Social Worker, NPI 1295718542

MS. MARY ELLEN DWYER is a healthcare provider. based in Brookline, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 107902 (MA). The NPI Number for MS. MARY ELLEN DWYER is 1295718542

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY ELLEN DWYER
NPI
1295718542
Phone
(617) 734-9300
Address
1051 BEACON ST STE 101
Enumeration Date
21 November 2005
Last Update Date
23 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173064633
Graduation Year
1983 (43 years ago)
PAC ID
0749210474
Professional Enrollment ID
I20050812000673
Address ID
MA026571548PR30XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. MARY ELLEN DWYER

  • Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States

    BROOKLINE, MA 024465622

    Phone: (617) 734-9300

    Mailing address matches the actual address.

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: 2011-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050812000673IClinical Social WorkerMATBD
I20110504000353IClinical Social WorkerRITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour22118$0
View full utilization report →

Insurance plans in this area (ZIP 02446)

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Reviews

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Frequently asked questions

What is the standard ID for MS. MARY ELLEN DWYER in the U.S.?
In the U.S., MS. MARY ELLEN DWYER is identified by NPI 1295718542.
Should I treat MS. MARY ELLEN DWYER as an active provider?
Patients and plans typically see MS. MARY ELLEN DWYER as active in the national extract.
What services align with MS. MARY ELLEN DWYER's listing?
MS. MARY ELLEN DWYER's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. MARY ELLEN DWYER?
MS. MARY ELLEN DWYER is associated with Brookline, Massachusetts in the same public data insurers reference.
Can I export MS. MARY ELLEN DWYER's record?
You can download the official NPPES record; we summarize key fields for readability.

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