MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) – Clinical Social Worker, NPI 1427183409

MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) is a healthcare provider. based in Auburn, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW00009741 (WA). The NPI Number for MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) is 1427183409

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. LAWRENCE LORENZO JR. GONCALVES (LICSW)
NPI
1427183409
Phone
(206) 551-1910
Address
4043 S 380TH PL
Enumeration Date
22 February 2007
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252352800
Graduation Year
2001 (25 years ago)
PAC ID
0042535288
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20150211001201
Address ID
WA980564030RE275XXNEXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,397 CLINICAL SOCIAL WORKER in WA

Provider Addresses for MR. LAWRENCE LORENZO JR. GONCALVES (LICSW)

  • 4043 S 380TH PL

    AUBURN, WA 980018000

    Phone: (206) 551-1910

    Type: Mailing

  • 17500 SE 392ND ST

    AUBURN, WA 980929705

    Phone: (253) 804-8752

    Fax: (253) 333-3615

    Type: Location

  • 4301 S PINE ST STE 301

    TACOMA, WA 984097206

    Phone: (253) 476-6500

    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: 2015-02-11

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
I20150211001201IClinical Social WorkerWATBD

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 98001)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) in U.S. healthcare records?
The official identifier for MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) is NPI 1427183409.
Active or inactive — what applies to MR. LAWRENCE LORENZO JR. GONCALVES (LICSW)?
You should see MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for MR. LAWRENCE LORENZO JR. GONCALVES (LICSW)?
At a glance, MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) associated with Auburn?
Public fields place MR. LAWRENCE LORENZO JR. GONCALVES (LICSW) around Auburn, Washington. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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