MONIQUE L GORE (LCSW) – Clinical Social Worker, NPI 1568452803
Clinical Social Worker
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,446 CLINICAL SOCIAL WORKER in WI
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Provider Addresses for MONIQUE L GORE (LCSW)
365, Steuben Road, Town of Deerfield, Oneida County, New York, 13431, United States
ONEIDA, WI 541550365
Phone: (920) 869-2711
Type: Mailing
2640, West Point Road, Green Bay, Brown County, Wisconsin, 54304, United States
GREEN BAY, WI 543041344
Phone: (920) 869-2711
Type: Location
3120 Memorial Dr
Two Rivers, WI 542413229
Phone: (920) 657-1465
Type: Location
3158 EATON RD
GREEN BAY, WI 543116827
Phone: (920) 770-3319
Fax: (920) 600-0271
Type: Location
3120 MEMORIAL DR
TWO RIVERS, WI 542413229
Phone: (920) 657-1465
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: 2006-06-13
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 |
|---|---|---|---|---|
| I20060613000059 | I | Clinical Social Worker | WI | 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 54155)
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