GARY RAYMOND SIMONEAU (LICSW) – Mental Health Counselor, NPI 1326123506

GARY RAYMOND SIMONEAU (LICSW) is a healthcare provider. based in Wakefield, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1027144 (MA). The NPI Number for GARY RAYMOND SIMONEAU (LICSW) is 1326123506

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
GARY RAYMOND SIMONEAU (LICSW)
NPI
1326123506
Phone
(781) 224-9884
Address
599 NORTH AVE
Enumeration Date
26 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7012945082
Professional Enrollment ID
I20050801000296
Address ID
MA018801648Wa591XXAVEX301
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 RAYMOND SIMONEAU (LICSW)

  • 599, North Avenue, Wakefield Junction, Wakefield, Middlesex County, Massachusetts, 01880, United States

    DOOR 8

    WAKEFIELD, MA 018801648

    Phone: (781) 224-9884

    Fax: (781) 224-9632

    Type: Location

  • 117, Hudson Street, Spring Hill, Ball Square, Somerville, Middlesex County, Massachusetts, 02144, United States

    SOMERVILLE, MA 021442631

    Phone: (617) 629-4632

    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: 2005-08-01

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
I20050801000296IClinical 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 01880)

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Reviews

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Frequently asked questions

What is the registry number for GARY RAYMOND SIMONEAU (LICSW)?
The registry entry for GARY RAYMOND SIMONEAU (LICSW) shows NPI 1326123506.
Should I treat GARY RAYMOND SIMONEAU (LICSW) as an active provider?
Patients and plans typically see GARY RAYMOND SIMONEAU (LICSW) as active in the national extract.
How should patients interpret GARY RAYMOND SIMONEAU (LICSW)'s specialty?
The extract shows Mental Health Counselor for GARY RAYMOND SIMONEAU (LICSW). Clinical services aligned with this taxonomy classification.
Is GARY RAYMOND SIMONEAU (LICSW) tied to Wakefield, Massachusetts?
If you are local to Wakefield, Massachusetts, GARY RAYMOND SIMONEAU (LICSW) may be relevant to your search.
Can I export GARY RAYMOND SIMONEAU (LICSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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