MR. MICHAEL DAVID GOMES (LICSW) – Clinical Social Worker, NPI 1801000583

MR. MICHAEL DAVID GOMES (LICSW) is a healthcare provider. based in Carver, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 110439 (MA). The NPI Number for MR. MICHAEL DAVID GOMES (LICSW) is 1801000583

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL DAVID GOMES (LICSW)
NPI
1801000583
Phone
Not provided
Address
PO BOX 655
Enumeration Date
10 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666300966
Graduation Year
1998 (28 years ago)
PAC ID
2365494739
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20240320004265
Address ID
AZ850123133PH20XXXRDXX401
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 MR. MICHAEL DAVID GOMES (LICSW)

  • PO BOX 655

    CARVER, MA 023300655

    Phone:

    Type: Mailing

  • 2, Columbia Road, Schoosett, Pembroke, Plymouth County, Massachusetts, 02359, United States

    PEMBROKE, MA 023591842

    Phone: (508) 245-7594

    Type: Location

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: 2024-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240318001703IClinical Social WorkerMDTBD
I20240320004265IClinical Social WorkerAZTBD

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 02330)

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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: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does MR. MICHAEL DAVID GOMES (LICSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. MICHAEL DAVID GOMES (LICSW) uses 1801000583.
Is MR. MICHAEL DAVID GOMES (LICSW) listed as active for patients and plans?
The listing shows MR. MICHAEL DAVID GOMES (LICSW) as active in the NPI system.
What is MR. MICHAEL DAVID GOMES (LICSW)'s primary classification?
Clinical Social Worker is the headline specialty for MR. MICHAEL DAVID GOMES (LICSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL DAVID GOMES (LICSW)?
MR. MICHAEL DAVID GOMES (LICSW)'s geographic hint is Carver, Massachusetts in our summary view.
Is the information about MR. MICHAEL DAVID GOMES (LICSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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