JULIA SULLIVAN AHERN (LICSW) – Clinical Social Worker, NPI 1639300494

JULIA SULLIVAN AHERN (LICSW) is a healthcare provider. based in Harwich port, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 14850 (MD). The NPI Number for JULIA SULLIVAN AHERN (LICSW) is 1639300494

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JULIA SULLIVAN AHERN (LICSW)
NPI
1639300494
Phone
(301) 751-2780
Address
9 LEEWARD LN
Enumeration Date
28 July 2009
Last Update Date
9 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7743323791
Graduation Year
2006 (20 years ago)
PAC ID
3678854825
Group Practice PAC ID
6901866706
Professional Enrollment ID
I20230609001869
Address ID
MA026533202OR5XXXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for JULIA SULLIVAN AHERN (LICSW)

  • 9 LEEWARD LN

    HARWICH PORT, MA 026461338

    Phone: (301) 751-2780

    Type: Mailing

  • 5 NAMSKAKET RD

    ORLEANS, MA 026533202

    Phone: (301) 751-2780

    Type: Location

  • 303, Charles Street, Old Colony, La Plata, Charles County, Maryland, 20646, United States

    SUITE 102A

    LA PLATA, MD 206463520

    Phone: (301) 751-2780

    Type: Location

  • La Plata Post Office, 1239, La Plata Highway, La Plata, San Juan County, New Mexico, 87418, United States

    LA PLATA, MD 206462230

    Phone: (301) 751-2780

    Type: Mailing

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: 2023-06-09

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
I20230609001869IClinical 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 minutes6015$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 02646)

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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: 6901866706View full group profile
NameSpecialtyState
Nurse PractitionerTN
Clinical Social WorkerMA
Mental Health CounselorRI
-MA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
-MA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What is JULIA SULLIVAN AHERN (LICSW)'s NPI number?
JULIA SULLIVAN AHERN (LICSW)'s NPI is 1639300494 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JULIA SULLIVAN AHERN (LICSW)?
For scheduling context, JULIA SULLIVAN AHERN (LICSW) is shown as active in the registry.
What clinical focus is listed for JULIA SULLIVAN AHERN (LICSW)?
At a glance, JULIA SULLIVAN AHERN (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is JULIA SULLIVAN AHERN (LICSW) located near Harwich Port?
JULIA SULLIVAN AHERN (LICSW) currently maps to Harwich Port, Massachusetts in this extract.
Can I trust this NPI listing for JULIA SULLIVAN AHERN (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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