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MARY KATHERINE DOHERTY LICSW
NPI 1124509203
Counselor - Professional in Swampscott, MA

Active since August 27, 2018Opted out of Medicare · through Feb 13, 2028
54 PLYMOUTH AVE, SWAMPSCOTT, MA 01907(781) 710-3420 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Katherine Doherty Licsw NPPES

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

MARY KATHERINE DOHERTY LICSW (NPI 1124509203) is an individual professional provider in Swampscott, Massachusetts, licensed in Massachusetts (110642) and active in the NPI registry since August 2018. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1124509203
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY KATHERINE DOHERTYCredential: LICSW
Location Address54 PLYMOUTH AVESwampscott, MA 01907-1143
Mailing Address54 Plymouth AveSwampscott, MA 01907-1143 · (781) 710-3420
Phone(781) 710-3420
Sole ProprietorYes
Enumeration DateAugust 27, 2018
✔ NPI 1124509203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MA · 110642
54 PLYMOUTH AVE, Swampscott, MA 01907
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Katherine Doherty 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 February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024
Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Mary Doherty's NPI number?

The NPI number for Mary Doherty is 1124509203. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Mary Doherty located?

Mary Doherty practices at 54 Plymouth Ave, Swampscott, MA 01907. The listed phone number is (781) 710-3420.

What is Mary Doherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Doherty enrolled in Medicare?

No. Mary Doherty has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mary Doherty accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mary Doherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Doherty was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.