NANCY M GIBBONS (LICSW) – Clinical Social Worker, NPI 1073650990

NANCY M GIBBONS (LICSW) is a healthcare provider. based in Stoughton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1020270 (MA). The NPI Number for NANCY M GIBBONS (LICSW) is 1073650990

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
NANCY M GIBBONS (LICSW)
NPI
1073650990
Phone
(781) 341-0923
Address
966A PARK ST
Enumeration Date
31 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7814929893
Graduation Year
1989 (37 years ago)
PAC ID
6103921515
Professional Enrollment ID
I20070413000100
Address ID
MA020623315NO1XXXXSTXX303
Telehealth
Yes
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 NANCY M GIBBONS (LICSW)

  • 966, Park Street, South Stoughton, Stoughton, Norfolk County, Massachusetts, 02072, United States

    STOUGHTON, MA 020723650

    Phone: (781) 341-0923

    Fax: (781) 341-0994

    Type: Location

  • 511, Central Street, Satucket, East Bridgewater, Plymouth County, Massachusetts, 02333, United States

    EAST BRIDGEWATER, MA 023332023

    Phone: (508) 350-0028

    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: 2007-04-13

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
I20070413000100IClinical 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 02072)

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Reviews

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Frequently asked questions

What unique ID ties claims to NANCY M GIBBONS (LICSW)?
NPI 1073650990 is assigned to NANCY M GIBBONS (LICSW) under the national enumeration system.
Is NANCY M GIBBONS (LICSW) currently active in the NPI registry?
CMS-published data lists NANCY M GIBBONS (LICSW) as an active registrant.
What does NANCY M GIBBONS (LICSW) treat or focus on?
Patients typically see NANCY M GIBBONS (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is NANCY M GIBBONS (LICSW)'s primary listing?
We display Stoughton, Massachusetts because that is what the record indicates for NANCY M GIBBONS (LICSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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