TIMOTHY COMEAUX (LICSW,LADCI) – Clinical Social Worker, NPI 1063563906

TIMOTHY COMEAUX (LICSW,LADCI) is a healthcare provider. based in Fall river, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW,LADCI. They hold a License No. 114193 (MA). The NPI Number for TIMOTHY COMEAUX (LICSW,LADCI) is 1063563906

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY COMEAUX (LICSW,LADCI)
NPI
1063563906
Phone
(508) 679-5222
Address
386 STANLEY ST
Enumeration Date
16 January 2007
Last Update Date
15 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173763000
Graduation Year
2005 (21 years ago)
PAC ID
5092898122
Group Practice PAC ID
4486555158
Professional Enrollment ID
I20080213000462
Address ID
MA021712122QU110XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for TIMOTHY COMEAUX (LICSW,LADCI)

  • Stanley Street, Fall River, Bristol County, Massachusetts, 02720, United States

    FALL RIVER, MA 027206009

    Phone: (508) 679-5222

    Fax: (508) 673-3182

    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: 2008-02-13

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
I20080213000462IClinical Social WorkerMATBD

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 02720)

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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: 4486555158View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Physician AssistantMA
-MA
O P T O M E T R YMA
Nurse PractitionerMA
Physician AssistantMA
Nurse PractitionerMA
Physician AssistantMA
Infectious Disease, Internal MedicineMA

Reviews

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Frequently asked questions

What identifier follows TIMOTHY COMEAUX (LICSW,LADCI) across health systems?
The NPI 1063563906 uniquely identifies TIMOTHY COMEAUX (LICSW,LADCI) in U.S. healthcare data.
Quick check: is TIMOTHY COMEAUX (LICSW,LADCI) active?
Public NPPES data shows TIMOTHY COMEAUX (LICSW,LADCI) with an active NPI status right now.
Which specialty label fits TIMOTHY COMEAUX (LICSW,LADCI)?
NPPES ties TIMOTHY COMEAUX (LICSW,LADCI) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TIMOTHY COMEAUX (LICSW,LADCI)?
TIMOTHY COMEAUX (LICSW,LADCI) shows a connection to Fall River, Massachusetts in registry-derived data.
Who maintains TIMOTHY COMEAUX (LICSW,LADCI)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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