GREG L OMORI (LICSW) – Clinical Social Worker, NPI 1598709628

GREG L OMORI (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1825 (MN). The NPI Number for GREG L OMORI (LICSW) is 1598709628

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
GREG L OMORI (LICSW)
NPI
1598709628
Phone
(612) 262-4813
Address
2925 CHICAGO AVE
Enumeration Date
16 June 2006
Last Update Date
28 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072175000
Graduation Year
1986 (40 years ago)
PAC ID
7012907793
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20040514000521
Address ID
MN560731514NE1324XNXXX400
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

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for GREG L OMORI (LICSW)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-4813

    Fax: (612) 262-4194

    Type: Mailing

  • 1217, 8th North Street, New Ulm, Brown County, Minnesota, 56073, United States

    NEW ULM, MN 560731552

    Phone: (507) 233-1000

    Fax: (507) 233-1327

    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: 2004-05-14

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
I20040514000521IClinical Social WorkerMNTBD

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
90837Psychotherapy, 1 hour10511$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Is there an official ID for GREG L OMORI (LICSW) in U.S. healthcare records?
The official identifier for GREG L OMORI (LICSW) is NPI 1598709628.
Is GREG L OMORI (LICSW) still an active registrant?
GREG L OMORI (LICSW) carries an active NPI according to the public dataset.
What clinical focus is listed for GREG L OMORI (LICSW)?
At a glance, GREG L OMORI (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with GREG L OMORI (LICSW)?
Directory geography for GREG L OMORI (LICSW) centers on Minneapolis, Minnesota.
Does GREG L OMORI (LICSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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