MR. GARY LEE NORMAN (LICSW, LCSW) – Clinical Social Worker, NPI 1972644581
Clinical Social Worker
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
245 CLINICAL SOCIAL WORKER in HI
Provider Addresses for MR. GARY LEE NORMAN (LICSW, LCSW)
14323 GOLF VIEW DR
EDEN PRAIRIE, MN 553463004
Phone: (612) 816-8434
Type: Mailing
15-2660 PAHOA VILLAGE RD STE 203-521
PAHOA, HI 967786720
Phone: (612) 816-8434
Type: Location
2120 PARK AVE
MINNEAPOLIS, MN 554043378
Phone: (612) 872-2000
Fax: (612) 871-1375
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: 2023-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071107000795 | I | Clinical Social Worker | MN | TBD |
| I20230712000775 | I | Clinical Social Worker | HI | TBD |
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.
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 55346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | AL | |
| Marriage And Family Therapist | FL | |
| Mental Health Counselor | AL | |
| Mental Health Counselor | FL |
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