JENNA GOMEZ – Social Worker, NPI 1184082588

JENNA GOMEZ is a healthcare provider. based in Cutler bay, Florida. specializing in CLINICAL SOCIAL WORKER. They hold a License No. SW19045 (FL). The NPI Number for JENNA GOMEZ is 1184082588

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNA GOMEZ
NPI
1184082588
Phone
(786) 293-9544
Address
10720 CARIBBEAN BLVD
Enumeration Date
1 February 2016
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Secondary Phone
3138418900
Graduation Year
2015 (11 years ago)
PAC ID
1557747128
Group Practice PAC ID
4082648365
Professional Enrollment ID
I20221005000874
Address ID
MI482092022DE1700XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for JENNA GOMEZ

  • 10720, Caribbean Boulevard, Cutler Bay, Miami-Dade County, Florida, 33189, United States

    SUITE 420

    CUTLER BAY, FL 331891218

    Phone: (786) 293-9544

    Type: Location

  • 12501 SW 250TH TER

    HOMESTEAD, FL 330325889

    Phone: (305) 323-0655

    Type: Mailing

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: 2022-10-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221005000874IClinical Social WorkerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33189)

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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: 4082648365View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JENNA GOMEZ?
Save NPI 1184082588 if you need a stable reference for JENNA GOMEZ.
Does this profile mean JENNA GOMEZ is currently active?
Yes — JENNA GOMEZ appears active in the national provider directory.
Does JENNA GOMEZ list a primary specialty?
If you are matching referrals, note Social Worker for JENNA GOMEZ. Clinical services aligned with this taxonomy classification.
What location shows for JENNA GOMEZ?
We surface Cutler Bay, Florida for JENNA GOMEZ based on available NPPES addresses.
What if Cutler Bay, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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