CARRIE LAM PRENDERGAST (LICSW) – Clinical Social Worker, NPI 1437513231

CARRIE LAM PRENDERGAST (LICSW) is a healthcare provider. based in Norwell, Massachusetts. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 119561 (MA). The NPI Number for CARRIE LAM PRENDERGAST (LICSW) is 1437513231

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE LAM PRENDERGAST (LICSW)
NPI
1437513231
Phone
(617) 777-6633
Address
170 BOWKER ST
Enumeration Date
7 April 2016
Last Update Date
7 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818788340
Graduation Year
2013 (13 years ago)
PAC ID
2163715178
Group Practice PAC ID
5395881601
Professional Enrollment ID
I20160728001878
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for CARRIE LAM PRENDERGAST (LICSW)

  • 170, Bowker Street, Norwell, Plymouth County, Massachusetts, 02061, United States

    NORWELL, MA 020611243

    Phone: (617) 777-6633

    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: 2016-07-28

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
I20160728001878IClinical 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 02061)

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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: 5395881601View full group profile
NameSpecialtyState
-MA
Clinical Social WorkerMA
Clinical Social WorkerMA
P S Y C H I A T R YMA

Reviews

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Frequently asked questions

What NPI should I save for CARRIE LAM PRENDERGAST (LICSW)?
Save NPI 1437513231 if you need a stable reference for CARRIE LAM PRENDERGAST (LICSW).
Is CARRIE LAM PRENDERGAST (LICSW) currently active in the NPI registry?
CMS-published data lists CARRIE LAM PRENDERGAST (LICSW) as an active registrant.
What does CARRIE LAM PRENDERGAST (LICSW) treat or focus on?
Patients typically see CARRIE LAM PRENDERGAST (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for CARRIE LAM PRENDERGAST (LICSW)?
The page summarizes Norwell, Massachusetts for CARRIE LAM PRENDERGAST (LICSW); expand the address list for detail.
Is CARRIE LAM PRENDERGAST (LICSW) a real provider?
This page reflects official NPPES data for NPI 1437513231. Always confirm identity and privileges with the practice and licensing boards.

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