DAVID KILGALLON (LICSW) – Clinical Social Worker, NPI 1295021509

DAVID KILGALLON (LICSW) is a healthcare provider. based in South dennis, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 117481 (MA). The NPI Number for DAVID KILGALLON (LICSW) is 1295021509

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KILGALLON (LICSW)
NPI
1295021509
Phone
(508) 394-0959
Address
23 ROUTE 134
Enumeration Date
24 June 2011
Last Update Date
25 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083940959
Graduation Year
2010 (16 years ago)
PAC ID
9830523844
Professional Enrollment ID
I20191230000457
Address ID
MA026603740SO23XXX134X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for DAVID KILGALLON (LICSW)

  • 23 ROUTE 134

    STE 10

    SOUTH DENNIS, MA 026603740

    Phone: (508) 394-0959

    Fax: (508) 394-0959

    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: 2019-12-30

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
I20191230000457IClinical 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 02660)

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Reviews

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Frequently asked questions

What federal number belongs to DAVID KILGALLON (LICSW)?
The federal identifier for DAVID KILGALLON (LICSW) is NPI 1295021509.
Does this profile mean DAVID KILGALLON (LICSW) is currently active?
Yes — DAVID KILGALLON (LICSW) appears active in the national provider directory.
Does DAVID KILGALLON (LICSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for DAVID KILGALLON (LICSW). Clinical services aligned with this taxonomy classification.
Does DAVID KILGALLON (LICSW) practice in Massachusetts?
You will see South Dennis, Massachusetts on file for DAVID KILGALLON (LICSW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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