DAVID GORENZ – Clinical Social Worker, NPI 1740610765

DAVID GORENZ is a healthcare provider. based in Princeton, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149002582 (IL). The NPI Number for DAVID GORENZ is 1740610765

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DAVID GORENZ
NPI
1740610765
Phone
(815) 872-2273
Address
1009 S MAIN ST
Enumeration Date
13 November 2013
Last Update Date
13 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7734676967
Graduation Year
1986 (40 years ago)
PAC ID
5395176499
Group Practice PAC ID
0143457812
Professional Enrollment ID
I20200505001476
Address ID
IL613642705ST401XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for DAVID GORENZ

  • 1009 S MAIN ST

    PRINCETON, IL 613562434

    Phone: (815) 872-2273

    Mailing address matches the actual address.

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: 2020-05-05

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
I20200505001476IClinical Social WorkerILTBD

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 61356)

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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: 0143457812View full group profile
NameSpecialtyState
Family Practice, PsychiatryIL

Reviews

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Frequently asked questions

What number should I use to identify DAVID GORENZ for billing?
Administrative and clinical systems typically use NPI 1740610765 for DAVID GORENZ.
Should I treat DAVID GORENZ as an active provider?
Patients and plans typically see DAVID GORENZ as active in the national extract.
What services align with DAVID GORENZ's listing?
DAVID GORENZ's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit DAVID GORENZ in Princeton, Illinois?
For routing, start with Princeton, Illinois for DAVID GORENZ, then verify phone and hours locally.
Why is information missing for DAVID GORENZ?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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