MR. ETHAN G. HARRIS (MSW) – Clinical Social Worker, NPI 1730230038

MR. ETHAN G. HARRIS (MSW) is a healthcare provider. based in Weston, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 101183 (MA). The NPI Number for MR. ETHAN G. HARRIS (MSW) is 1730230038

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
MR. ETHAN G. HARRIS (MSW)
NPI
1730230038
Phone
(781) 891-5797
Address
240 MERRIAM ST
Enumeration Date
15 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818988108
Graduation Year
1969 (57 years ago)
PAC ID
3577926419
Professional Enrollment ID
I20230825000822
Address ID
MA024531542WA14XXXSTXX300
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

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MR. ETHAN G. HARRIS (MSW)

  • 240, Merriam Street, Silver Hill, Weston, Middlesex County, Massachusetts, 01773, United States

    WESTON, MA 024931348

    Phone: (781) 891-5797

    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: 2023-08-25

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
I20230825000822IClinical 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 02493)

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Reviews

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Frequently asked questions

Is there an official ID for MR. ETHAN G. HARRIS (MSW) in U.S. healthcare records?
The official identifier for MR. ETHAN G. HARRIS (MSW) is NPI 1730230038.
Is MR. ETHAN G. HARRIS (MSW) shown as active in public data?
Registry records indicate MR. ETHAN G. HARRIS (MSW) maintains an active NPI.
What kind of doctor is MR. ETHAN G. HARRIS (MSW)?
MR. ETHAN G. HARRIS (MSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MR. ETHAN G. HARRIS (MSW) registered?
Use Weston, Massachusetts as the headline location for MR. ETHAN G. HARRIS (MSW) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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