MS. MARY ALICE LACY PARDEE (MSW LICSW) – Clinical Social Worker, NPI 1376531525

MS. MARY ALICE LACY PARDEE (MSW LICSW) is a healthcare provider. based in Gloucester, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LICSW. They hold a License No. 1019358 (MA). The NPI Number for MS. MARY ALICE LACY PARDEE (MSW LICSW) is 1376531525

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY ALICE LACY PARDEE (MSW LICSW)
NPI
1376531525
Phone
(978) 282-1136
Address
85 EASTERN AVE
Enumeration Date
12 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785466032
Graduation Year
1988 (38 years ago)
PAC ID
1658399712
Professional Enrollment ID
I20051107000982
Address ID
MA019661348RO4XXXXRDXX300
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 ALICE LACY PARDEE (MSW LICSW)

  • 85, Eastern Avenue, Five Pound Island, Gloucester, Essex County, Massachusetts, 01930-3540, United States

    SUITE 204

    GLOUCESTER, MA 019301869

    Phone: (978) 282-1136

    Fax: (978) 282-1144

    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: 2005-11-07

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
I20051107000982IClinical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour39923$0
View full utilization report →

Insurance plans in this area (ZIP 01930)

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Reviews

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Frequently asked questions

Is there an official ID for MS. MARY ALICE LACY PARDEE (MSW LICSW) in U.S. healthcare records?
The official identifier for MS. MARY ALICE LACY PARDEE (MSW LICSW) is NPI 1376531525.
Is MS. MARY ALICE LACY PARDEE (MSW LICSW) still an active registrant?
MS. MARY ALICE LACY PARDEE (MSW LICSW) carries an active NPI according to the public dataset.
What area of care is associated with MS. MARY ALICE LACY PARDEE (MSW LICSW)?
MS. MARY ALICE LACY PARDEE (MSW LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. MARY ALICE LACY PARDEE (MSW LICSW) associated with Gloucester?
Public fields place MS. MARY ALICE LACY PARDEE (MSW LICSW) around Gloucester, Massachusetts. Always confirm the exact site before visiting.
Can I trust this NPI listing for MS. MARY ALICE LACY PARDEE (MSW LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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