STEPHANIE MCKENNA HORAN (LICSW) – Clinical Social Worker, NPI 1760900054
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANIE MCKENNA HORAN (LICSW)
236 E 2230 N APT 3
PROVO, UT 846045884
Phone:
Type: Mailing
5150 Village Park Dr SE
Bellevue, WA 980066652
Phone: (425) 657-0620
Type: Location
371, South Vineyard Road, Orem, Utah County, Utah, 84059, United States
OREM, UT 840582002
Phone: (720) 271-5146
Type: Location
257 S CENTER ST UNIT A
LEHI, UT 840432140
Phone: (720) 271-5146
Type: Mailing
5455 RIVER RUN DR
PROVO, UT 846047726
Phone: (801) 342-3437
Type: Location
25235 SE KLAHANIE BLVD APT L301
SAMMAMISH, WA 980295605
Phone: (720) 271-5146
Type: Mailing
7507 NE 51ST ST
VANCOUVER, WA 986626007
Phone: (360) 906-1190
Type: Location
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: 2023-07-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230705002529 | I | Clinical Social Worker | WA | TBD |
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.
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 84604)
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