MS. WENDY P. O'HARA (LICSW) – Clinical Social Worker, NPI 1306866710

MS. WENDY P. O'HARA (LICSW) is a healthcare provider. based in Salem, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1017471 (MA). The NPI Number for MS. WENDY P. O'HARA (LICSW) is 1306866710

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MS. WENDY P. O'HARA (LICSW)
NPI
1306866710
Phone
(978) 594-4787
Address
254 ESSEX STREET
Enumeration Date
20 July 2006
Last Update Date
4 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787297807
Graduation Year
1986 (40 years ago)
PAC ID
3476595679
Professional Enrollment ID
I20050527000286
Address ID
MA019703411SA254XXSTXX300
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

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. WENDY P. O'HARA (LICSW)

  • 254, Essex Street, Downtown Salem District, North Salem, Salem, Essex County, Massachusetts, 01970, United States

    SUITE 202

    SALEM, MA 019703411

    Phone: (978) 594-4787

    Fax: (978) 594-4787

    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: 2005-05-27

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
I20050527000286IClinical 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 01970)

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Reviews

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Frequently asked questions

Can I verify MS. WENDY P. O'HARA (LICSW) with an NPI only?
You can start verification with NPI 1306866710 for MS. WENDY P. O'HARA (LICSW), then check state licensing separately.
Can I rely on MS. WENDY P. O'HARA (LICSW) being an active provider?
As of the registry snapshot, MS. WENDY P. O'HARA (LICSW) is marked active.
What is MS. WENDY P. O'HARA (LICSW)'s specialty?
The listing groups MS. WENDY P. O'HARA (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MS. WENDY P. O'HARA (LICSW)?
MS. WENDY P. O'HARA (LICSW)'s geographic hint is Salem, Massachusetts in our summary view.
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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