SEAN HARRIS (LICSW) – Clinical Social Worker, NPI 1508897802

SEAN HARRIS (LICSW) is a healthcare provider. based in Bridgewater, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1029847 (MA). The NPI Number for SEAN HARRIS (LICSW) is 1508897802

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SEAN HARRIS (LICSW)
NPI
1508897802
Phone
(508) 697-2754
Address
10 OLD FARM RD
Enumeration Date
5 July 2006
Last Update Date
22 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082325332
Graduation Year
1995 (31 years ago)
PAC ID
9739108283
Professional Enrollment ID
I20051115000196
Address ID
MA023243448BR10XXXRDXX400
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 SEAN HARRIS (LICSW)

  • 10, Old Farm Road, Bridgewater, Plymouth County, Massachusetts, 02325, United States

    BRIDGEWATER, MA 023243448

    Phone: (508) 697-2754

    Type: Mailing

  • 1130;1132, Westfield Street, Mittineague, West Springfield, Hampden County, Massachusetts, 01089, United States

    WEST SPRINGFIELD, MA 010893878

    Phone: (413) 592-1980

    Fax: (413) 439-0096

    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: 2005-11-15

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
I20051115000196IClinical 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
90834Psychotherapy, 45 minutes4520$0
View full utilization report →

Insurance plans in this area (ZIP 02324)

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Reviews

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Frequently asked questions

Where can patients find SEAN HARRIS (LICSW)'s NPI?
You can confirm SEAN HARRIS (LICSW) with NPI 1508897802; it appears in the national provider directory.
Is SEAN HARRIS (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SEAN HARRIS (LICSW) work in?
You can think of SEAN HARRIS (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does SEAN HARRIS (LICSW) practice in Massachusetts?
You will see Bridgewater, Massachusetts on file for SEAN HARRIS (LICSW) alongside any extra practice locations.
Is SEAN HARRIS (LICSW) a real provider?
This page reflects official NPPES data for NPI 1508897802. Always confirm identity and privileges with the practice and licensing boards.

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