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MR. PAUL DAVID HARRISON LICSW
NPI 1083029052
Social Worker - Clinical in Arlington, MA

Active since June 27, 2014Opted out of Medicare · through Jan 1, 2028
259 MASSACHUSETTS AVE, ARLINGTON, MA 02474(978) 618-5288(339) 707-2492 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Paul David Harrison Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL DAVID HARRISON LICSW (NPI 1083029052) is an individual clinical provider in Arlington, Massachusetts, licensed in Massachusetts (119401) and active in the NPI registry since June 2014. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1083029052
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PAUL DAVID HARRISONCredential: LICSW
Location Address259 MASSACHUSETTS AVEArlington, MA 02474-8406
Mailing Address259 Massachusetts AveArlington, MA 02474-8406 · (978) 618-5288 · Fax (339) 707-2492
Phone(978) 618-5288
Fax(339) 707-2492
Sole ProprietorYes
Enumeration DateJune 27, 2014
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1083029052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 119401
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 219242 (MA)
259 MASSACHUSETTS AVE, Arlington, MA 02474
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Paul David Harrison Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS ARTHUS DENTON LICSW
Social Worker (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 643-5451
ELIZABETH JANE SPEAR LMHC, LMFT,
Counselor (Mental Health)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 816-6402
MISS JENNIFER LINN DESOUZA LICSW
Social Worker (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 575-9438
MAXINE OROCOFSKY PSY.D
Counselor
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 851-8376
DR. SUSAN ELLEN GOTTLIEB PH.D.
Psychologist
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 641-0272
ANGEL R. SEIBRING PH.D.
Psychologist (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 648-0881
BARBARA SCHMITZ LMHC
Counselor (Mental Health)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 431-6353
DR. CARIN JANET ROBERGE PSY.D.
Psychologist (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 646-6697

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Harrison's NPI number?

The NPI number for Paul Harrison is 1083029052. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Paul Harrison located?

Paul Harrison practices at 259 Massachusetts Ave, Arlington, MA 02474. The listed phone number is (978) 618-5288.

What is Paul Harrison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paul Harrison enrolled in Medicare?

No. Paul Harrison has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paul Harrison was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.