MARTY KRAKOWSKY (LICSW) – Clinical Social Worker, NPI 1508812496

MARTY KRAKOWSKY (LICSW) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 113444 (MA). The NPI Number for MARTY KRAKOWSKY (LICSW) is 1508812496

Main info

Male
24 Years Of Experience
Name
MARTY KRAKOWSKY (LICSW)
NPI
1508812496
Phone
(617) 559-8051
Address
147 MILK ST
Enumeration Date
25 May 2006
Last Update Date
8 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176752191
Graduation Year
2002 (24 years ago)
PAC ID
4789687229
Professional Enrollment ID
I20060823000011
Address ID
MA024465017BR233XXSTXX301
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 MARTY KRAKOWSKY (LICSW)

  • Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States

    PROVIDER ENROLLMENT 9TH FLOOR

    BOSTON, MA 021094806

    Phone: (617) 559-8051

    Type: Mailing

  • 1250 Hancock St, Washington Street, Quincy Center, Quincy, Norfolk County, Massachusetts, 02169, United States

    QUINCY, MA 021694339

    Phone: (617) 774-0920

    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: 2006-08-23

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
I20060823000011IClinical 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 02109)

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Reviews

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Frequently asked questions

Does MARTY KRAKOWSKY (LICSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARTY KRAKOWSKY (LICSW) uses 1508812496.
Does CMS list MARTY KRAKOWSKY (LICSW) as active?
Yes — MARTY KRAKOWSKY (LICSW) is active in the NPI listing used on this page.
What is MARTY KRAKOWSKY (LICSW)'s specialty?
The listing groups MARTY KRAKOWSKY (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MARTY KRAKOWSKY (LICSW)?
MARTY KRAKOWSKY (LICSW)'s geographic hint is Boston, Massachusetts in our summary view.
Why does MARTY KRAKOWSKY (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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