HARRY M BERG (LICSW) – Clinical Social Worker, NPI 1922187822

HARRY M BERG (LICSW) is a healthcare provider. based in Randolph, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 101336 (MA). The NPI Number for HARRY M BERG (LICSW) is 1922187822

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
HARRY M BERG (LICSW)
NPI
1922187822
Phone
(781) 963-7775
Address
1093 N MAIN ST
Enumeration Date
3 November 2006
Last Update Date
2 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819637775
Graduation Year
1982 (44 years ago)
PAC ID
3173610433
Group Practice PAC ID
4486696614
Professional Enrollment ID
I20071114000023
Address ID
MA023682100RA1093XSTXX402
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 HARRY M BERG (LICSW)

  • 1093, North Main Street, North Randolph, Randolph, Norfolk County, Massachusetts, 02368, United States

    RANDOLPH, MA 023682100

    Phone: (781) 963-7775

    Fax: (781) 963-7776

    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: 2007-11-14

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
I20071114000023IClinical 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 minutes79536$0
View full utilization report →

Insurance plans in this area (ZIP 02368)

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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: 4486696614View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Clinical Social WorkerMA
P S Y C H I A T R YMA
-MA
P S Y C H I A T R YMA
P S Y C H I A T R YMA
Clinical Social WorkerMA
P S Y C H I A T R YMA
-MA

Reviews

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Frequently asked questions

Where can patients find HARRY M BERG (LICSW)'s NPI?
You can confirm HARRY M BERG (LICSW) with NPI 1922187822; it appears in the national provider directory.
Is HARRY M BERG (LICSW)'s NPI currently valid?
The extract we use shows HARRY M BERG (LICSW) as active.
Can you summarize HARRY M BERG (LICSW)'s specialty in plain language?
Clinically, the directory lists HARRY M BERG (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for HARRY M BERG (LICSW)?
The page summarizes Randolph, Massachusetts for HARRY M BERG (LICSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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