GARY MARSHALL GOLDSTEIN (LCSW) – Clinical Psychologist, NPI 1114033263

GARY MARSHALL GOLDSTEIN (LCSW) is a healthcare provider. based in North andover, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 102691 (MA). The NPI Number for GARY MARSHALL GOLDSTEIN (LCSW) is 1114033263

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
GARY MARSHALL GOLDSTEIN (LCSW)
NPI
1114033263
Phone
(918) 682-1579
Address
565 TURNPIKE STREET
Enumeration Date
22 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786821579
Graduation Year
1973 (53 years ago)
PAC ID
8325071731
Professional Enrollment ID
I20050915001050
Address ID
MA018455936NO565XXSTXX300
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 GARY MARSHALL GOLDSTEIN (LCSW)

  • 565, Turnpike Street, North Andover, Essex County, Massachusetts, 01845, United States

    SUITE 81

    NORTH ANDOVER, MA 01845

    Phone: (918) 682-1579

    Fax: (978) 689-4582

    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: 2005-09-15

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
I20050915001050IClinical 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 01845)

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Reviews

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Frequently asked questions

How is GARY MARSHALL GOLDSTEIN (LCSW) identified in CMS data?
CMS-hosted NPPES data lists GARY MARSHALL GOLDSTEIN (LCSW) with NPI 1114033263.
Is GARY MARSHALL GOLDSTEIN (LCSW) still practicing?
GARY MARSHALL GOLDSTEIN (LCSW) is currently listed as active in the public NPI registry.
What is GARY MARSHALL GOLDSTEIN (LCSW) best known for clinically?
Directory data describes GARY MARSHALL GOLDSTEIN (LCSW) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does GARY MARSHALL GOLDSTEIN (LCSW) list a practice location?
Patients near North Andover, Massachusetts may find GARY MARSHALL GOLDSTEIN (LCSW) in results; validate coverage separately.
Is the information about GARY MARSHALL GOLDSTEIN (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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