CARLOS EMERY GOMEZ (LCSW) – Clinical Social Worker, NPI 1528331451
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
965 CLINICAL SOCIAL WORKER in UT
Provider Addresses for CARLOS EMERY GOMEZ (LCSW)
166 N 300 W STE 3
ST GEORGE, UT 847702770
Phone: (801) 995-1788
Type: Mailing
750 N 200 W STE 300
PROVO, UT 846011690
Phone: (801) 373-4760
Type: Location
294 E TABERNACLE ST STE 100
ST GEORGE, UT 847702936
Phone: (801) 995-1788
Type: Mailing
766 N 2860 E Ste 201
St George, UT 847908909
Phone: (435) 227-5506
Fax: (833) 457-1704
Type: Location
1004 E Black Oak Dr
Washington, UT 84780
Phone: (801) 995-1788
Type: Location
1664 S DIXIE DR STE 102
ST GEORGE, UT 847707327
Phone: (801) 995-1788
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: 2023-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231108002938 | I | Clinical Social Worker | UT | 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 84770)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | UT | |
| Mental Health Counselor | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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