RICHARD D. NOAH (LCSW) – Clinical Social Worker, NPI 1073655536

RICHARD D. NOAH (LCSW) is a healthcare provider. based in Melbourne, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 10349 (MD). The NPI Number for RICHARD D. NOAH (LCSW) is 1073655536

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD D. NOAH (LCSW)
NPI
1073655536
Phone
(321) 722-5200
Address
4450 W Eau Gallie Blvd
Enumeration Date
13 February 2007
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393041600
Graduation Year
1996 (30 years ago)
PAC ID
6800191065
Group Practice PAC ID
9133378086
Professional Enrollment ID
I20160225001331
Address ID
FL341055028NA1223XLNXX300
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

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for RICHARD D. NOAH (LCSW)

  • 4450 W Eau Gallie Blvd

    200

    Melbourne, FL 329347213

    Phone: (321) 722-5200

    Type: Location

  • 13542 CHERRY TREE CT

    FORT MYERS, FL 339125670

    Phone: (321) 536-8966

    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: 2016-02-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160225001331IClinical Social WorkerFLTBD

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
90832Psychotherapy, 30 minutes2311$0
90791Psychiatric diagnostic evaluation2222$0
View full utilization report →

Insurance plans in this area (ZIP 32934)

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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: 9133378086View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Hospice/Palliative CareFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find RICHARD D. NOAH (LCSW)'s NPI?
You can confirm RICHARD D. NOAH (LCSW) with NPI 1073655536; it appears in the national provider directory.
Is RICHARD D. NOAH (LCSW)'s NPI currently valid?
The extract we use shows RICHARD D. NOAH (LCSW) as active.
Does RICHARD D. NOAH (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for RICHARD D. NOAH (LCSW). Clinical services aligned with this taxonomy classification.
Where is RICHARD D. NOAH (LCSW)'s primary listing?
We display Melbourne, Florida because that is what the record indicates for RICHARD D. NOAH (LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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