MR. MICHAEL K. O'HEARN (LCSW) – Clinical Social Worker, NPI 1730169913

MR. MICHAEL K. O'HEARN (LCSW) is a healthcare provider. based in Mason, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 1.0007335 (OH). The NPI Number for MR. MICHAEL K. O'HEARN (LCSW) is 1730169913

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL K. O'HEARN (LCSW)
NPI
1730169913
Phone
(513) 536-4673
Address
4075 OLD WESTERN ROW ROAD
Enumeration Date
23 January 2006
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135364673
Graduation Year
1992 (34 years ago)
PAC ID
0446200760
Group Practice PAC ID
7012236409
Professional Enrollment ID
I20050125000545
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:20State licenses:4Digital endpointsOther names

Provider Addresses for MR. MICHAEL K. O'HEARN (LCSW)

  • 4075, Old Western Row Road, Mason, Warren County, Ohio, 45040, United States

    MASON, OH 450403104

    Phone: (513) 536-4673

    Fax: (513) 947-7222

    Type: Mailing

  • 1862 PLAZA DEL SUR DR APT 147

    SANTA FE, NM 875056046

    Phone: (505) 955-9454

    Fax: (505) 216-9067

    Type: Mailing

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: 2024-05-06

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
I20050125000545IClinical Social WorkerOHTBD
I20240506000314IClinical Social WorkerNMTBD

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 45040)

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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: 7012236409View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
-IL
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What number should I use to identify MR. MICHAEL K. O'HEARN (LCSW) for billing?
Administrative and clinical systems typically use NPI 1730169913 for MR. MICHAEL K. O'HEARN (LCSW).
Does the public listing show MR. MICHAEL K. O'HEARN (LCSW) as active?
MR. MICHAEL K. O'HEARN (LCSW)'s NPI record reflects an active status in NPPES.
What type of care does MR. MICHAEL K. O'HEARN (LCSW) provide?
MR. MICHAEL K. O'HEARN (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to MR. MICHAEL K. O'HEARN (LCSW)?
The directory associates MR. MICHAEL K. O'HEARN (LCSW) with Mason, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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