MARSHA S WEINER (LICSW) – Social Worker, NPI 1720063035

MARSHA S 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. 110638 (MA). The NPI Number for MARSHA S WEINER (LICSW) is 1720063035

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MARSHA S WEINER (LICSW)
NPI
1720063035
Phone
(508) 894-0400
Address
110 LIBERTY ST
Enumeration Date
8 December 2005
Last Update Date
20 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082429666
Graduation Year
1984 (42 years ago)
PAC ID
7517956212
Group Practice PAC ID
5991763823
Professional Enrollment ID
I20040508000000
Address ID
MA020522099ME266XXSTXX301
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 MARSHA S WEINER (LICSW)

  • 110, Liberty Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023015521

    Phone: (508) 894-0400

    Fax: (508) 565-0157

    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: 2004-05-08

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
I20040508000000IClinical 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 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: 5991763823View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MARSHA S WEINER (LICSW)?
The federal identifier for MARSHA S WEINER (LICSW) is NPI 1720063035.
Does this profile mean MARSHA S WEINER (LICSW) is currently active?
Yes — MARSHA S WEINER (LICSW) appears active in the national provider directory.
What kind of provider is MARSHA S WEINER (LICSW)?
The page reflects Social Worker for MARSHA S WEINER (LICSW). Clinical services aligned with this taxonomy classification.
Where does public data place MARSHA S WEINER (LICSW)?
The snapshot lists Brockton, Massachusetts for MARSHA S WEINER (LICSW); download NPPES for the complete set.
Is MARSHA S WEINER (LICSW) a real provider?
This page reflects official NPPES data for NPI 1720063035. Always confirm identity and privileges with the practice and licensing boards.

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