MICHAEL STEPHEN WEINER (LICSW) – Clinical Social Worker, NPI 1669535084

MICHAEL STEPHEN WEINER (LICSW) is a healthcare provider. based in Brockton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 105028 (MA). The NPI Number for MICHAEL STEPHEN WEINER (LICSW) is 1669535084

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL STEPHEN WEINER (LICSW)
NPI
1669535084
Phone
(508) 580-4611
Address
7 CHRISTYS DRIVE
Enumeration Date
18 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
8820077282
Group Practice PAC ID
5395827711
Professional Enrollment ID
I20040719000617
Address ID
MA023011839BR22XXXDRXX302
Telehealth
Yes
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

4,246 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MICHAEL STEPHEN WEINER (LICSW)

  • 7 CHRISTYS DRIVE

    SUITE 3

    BROCKTON, MA 02301

    Phone: (508) 580-4611

    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: 2004-07-19

PECOS data refreshed: 2026-06-15

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
I20040719000617IClinical 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 minutes15518$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 5395827711View full group profile
NameSpecialtyState
Clinical PsychologistMA
Clinical Social WorkerMA
Clinical Social WorkerMA
-IL
Clinical Social WorkerRI
Certified Clinical Nurse Specialist (Cns)MA
-MA
-MA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL STEPHEN WEINER (LICSW) in U.S. healthcare records?
The official identifier for MICHAEL STEPHEN WEINER (LICSW) is NPI 1669535084.
Is MICHAEL STEPHEN WEINER (LICSW) still an active registrant?
MICHAEL STEPHEN WEINER (LICSW) carries an active NPI according to the public dataset.
What clinical focus is listed for MICHAEL STEPHEN WEINER (LICSW)?
At a glance, MICHAEL STEPHEN WEINER (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL STEPHEN WEINER (LICSW)?
Travel planning: use Brockton, Massachusetts as the reference point for MICHAEL STEPHEN WEINER (LICSW), then confirm.
Can I trust this NPI listing for MICHAEL STEPHEN WEINER (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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