MOIRA MARY MACDONALD – Mental Health Counselor, NPI 1366122939

MOIRA MARY MACDONALD is a healthcare provider. based in Peabody, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for MOIRA MARY MACDONALD is 1366122939

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MOIRA MARY MACDONALD
NPI
1366122939
Phone
(781) 710-8834
Address
1R NEWBURY ST STE 403
Enumeration Date
19 July 2023
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785351608
Graduation Year
2023 (3 years ago)
PAC ID
5496248916
Group Practice PAC ID
9032559109
Professional Enrollment ID
I20251203002408
Address ID
MA019603816PE1XXXXSTXX425
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MOIRA MARY MACDONALD

  • 1R NEWBURY ST STE 403

    PEABODY, MA 019603816

    Phone: (781) 710-8834

    Type: Mailing

  • 1R NEWBURY ST

    PEABODY, MA 019604065

    Phone: (781) 710-8834

    Type: Location

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: 2025-12-03

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
I20251203002408IClinical 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 01960)

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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: 9032559109View full group profile
NameSpecialtyState
Mental Health CounselorNY
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

How is MOIRA MARY MACDONALD identified in CMS data?
CMS-hosted NPPES data lists MOIRA MARY MACDONALD with NPI 1366122939.
Is MOIRA MARY MACDONALD still practicing?
MOIRA MARY MACDONALD is currently listed as active in the public NPI registry.
What is MOIRA MARY MACDONALD's specialty?
The listing groups MOIRA MARY MACDONALD with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is MOIRA MARY MACDONALD based?
MOIRA MARY MACDONALD is tied to Peabody, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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