MINDY R GRODOFSKY-GILMORE – Clinical Social Worker, NPI 1669570701

MINDY R GRODOFSKY-GILMORE is a healthcare provider. based in Canton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 105944 (MA). The NPI Number for MINDY R GRODOFSKY-GILMORE is 1669570701

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
MINDY R GRODOFSKY-GILMORE
NPI
1669570701
Phone
(781) 821-1626
Address
275 TURNPIKE ST
Enumeration Date
20 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173638010
Graduation Year
1980 (46 years ago)
PAC ID
9638197346
Group Practice PAC ID
6608855119
Professional Enrollment ID
I20051110000368
Address ID
MA021311000RO1200XSTXX300
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 MINDY R GRODOFSKY-GILMORE

  • 275, Turnpike Street, Canton, Norfolk County, Massachusetts, 02021, United States

    SUITE 105

    CANTON, MA 020212357

    Phone: (781) 821-1626

    Fax: (781) 821-1743

    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: 2005-11-10

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
I20051110000368IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes41264$0
90832Psychotherapy, 30 minutes9926$0
90791Psychiatric diagnostic evaluation3131$0
View full utilization report →

Insurance plans in this area (ZIP 02021)

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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: 6608855119View full group profile
NameSpecialtyState
Nurse PractitionerMA
Clinical Social WorkerMA
Hospice/Palliative Care, Internal MedicineMA
-MA
-MA
Family PracticeMA
P S Y C H I A T R YMA
-MA
Physician AssistantMA
Hospice/Palliative Care, Geriatric MedicineMA

Reviews

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Frequently asked questions

Is MINDY R GRODOFSKY-GILMORE listed with a National Provider Identifier?
Yes — MINDY R GRODOFSKY-GILMORE has NPI 1669570701 on file in the registry.
Active or inactive — what applies to MINDY R GRODOFSKY-GILMORE?
You should see MINDY R GRODOFSKY-GILMORE as active in CMS-hosted NPPES data.
What clinical focus is listed for MINDY R GRODOFSKY-GILMORE?
At a glance, MINDY R GRODOFSKY-GILMORE is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MINDY R GRODOFSKY-GILMORE associated with Canton?
Public fields place MINDY R GRODOFSKY-GILMORE around Canton, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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