MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) – Clinical Social Worker, NPI 1073721874

MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) is a healthcare provider. based in Arlington, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW, LCSW, LCSW-C. They hold a License No. LC303249 (DC). The NPI Number for MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) is 1073721874

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C)
NPI
1073721874
Phone
Not provided
Address
2107 WILSON BLVD
Enumeration Date
18 May 2007
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035546800
Graduation Year
1996 (30 years ago)
PAC ID
2860664596
Group Practice PAC ID
2264412485
Professional Enrollment ID
I20110930000469
Address ID
VA201768260LE44035PKWY308
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

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Provider Addresses for MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C)

  • Colonial Place III, 2107, Wilson Boulevard, Courthouse, Arlington, Arlington County, Virginia, 22201, United States

    ARLINGTON, VA 22201

    Phone:

    Type: Mailing

  • 8613 LEE HWY

    FAIRFAX, VA 220312171

    Phone: (703) 208-9383

    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: 2018-12-06

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
I20110930000469IClinical Social WorkerVATBD
I20181206002925IClinical Social WorkerDCTBD

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
90837Psychotherapy, 1 hour2921$0
90832Psychotherapy, 30 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 22201)

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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: 2264412485View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physician AssistantVA
Radiation OncologyVA
-VA
Radiation OncologyVA
Hospice/Palliative Care, Internal Medicine, Hospice/Palliative CareVA
Hematology/Oncology, Internal MedicineDC
H E M A T O L O G Y/ O N C O L O G YVA
-NH
Hematology/Oncology, HematologyVA

Reviews

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Frequently asked questions

What identifier follows MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) across health systems?
The NPI 1073721874 uniquely identifies MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) in U.S. healthcare data.
Should I treat MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) as an active provider?
Patients and plans typically see MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) as active in the national extract.
How should patients interpret MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C)'s specialty?
The extract shows Clinical Social Worker for MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C). Clinical services aligned with this taxonomy classification.
What city is tied to MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C)?
The directory associates MARY TRACY TIERNEY (LICSW, LCSW, LCSW-C) with Arlington, Virginia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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