LARA R HARRIS-DAVID (LICSW) – Clinical Social Worker, NPI 1700036720

LARA R HARRIS-DAVID (LICSW) is a healthcare provider. based in Concord, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 113020 (MA). The NPI Number for LARA R HARRIS-DAVID (LICSW) is 1700036720

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
LARA R HARRIS-DAVID (LICSW)
NPI
1700036720
Phone
(978) 369-1113
Address
111 Old Road To 9 Acre Cor
Enumeration Date
26 September 2008
Last Update Date
17 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787933870
Graduation Year
2002 (24 years ago)
PAC ID
6406916790
Professional Enrollment ID
I20191028001780
Address ID
MA017421734CO97XXXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for LARA R HARRIS-DAVID (LICSW)

  • 111 Old Road To 9 Acre Cor

    Concord, MA 017424141

    Phone: (978) 369-1113

    Type: Location

  • 111 OLD ROAD TO 9 ACRE COR

    CONCORD, MA 017424141

    Phone: (978) 369-1113

    Type: Mailing

  • 47, Gates Lane, Stow, Middlesex County, Massachusetts, 01775, United States

    STOW, MA 017751203

    Phone: (978) 793-3870

    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: 2019-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081117000318IClinical Social WorkerMATBD
I20191028001780IClinical 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 minutes28716$0
90837Psychotherapy, 1 hour17213$0
View full utilization report →

Insurance plans in this area (ZIP 01742)

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Reviews

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Frequently asked questions

Can I verify LARA R HARRIS-DAVID (LICSW) with an NPI only?
You can start verification with NPI 1700036720 for LARA R HARRIS-DAVID (LICSW), then check state licensing separately.
Does CMS list LARA R HARRIS-DAVID (LICSW) as active?
Yes — LARA R HARRIS-DAVID (LICSW) is active in the NPI listing used on this page.
What is LARA R HARRIS-DAVID (LICSW)'s specialty?
The listing groups LARA R HARRIS-DAVID (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is LARA R HARRIS-DAVID (LICSW) based?
LARA R HARRIS-DAVID (LICSW) is tied to Concord, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does LARA R HARRIS-DAVID (LICSW) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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