Individual provider Active NPI

Wendy P. O'Hara, LICSW

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1306866710
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1017471 Issued in MA
Practice address
254 Essex Street
Suite 202
Salem, MA 01970-3411
Phone
(978) 594-4787
Fax
(978) 594-4787
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1017471 MA Primary

Addresses

Primary practice location

254 Essex Street
Suite 202
Salem, MA 01970-3411

Mailing address

254 Essex Street
Suite 202
Salem, MA 01970-3411
Phone (978) 594-4787

Other identifiers 1

IdentifierTypeStateIssuer
P07726OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Wendy P. O'Hara-Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000286 MA Practitioner - Clinical Social Worker 3476595679 Reassigns benefits to 1 organization
Practice locations: Salem, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

254 Essex St
Salem, MA 01970-3411
Phone (978) 729-7807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1017471MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Counseling Center Inc PastSince Sep 21, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1306866710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 ESSEX STREET",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703411",
            "telephone_number": "978-594-4787",
            "fax_number": "978-594-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ESSEX STREET",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703411",
            "telephone_number": "978-594-4787",
            "fax_number": "978-594-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "WENDY",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P07726",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "O'HARA-COHEN",
            "middle_name": "P.",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.