MommiHealth PLLC – Clinical Social Worker, NPI 1396524005
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MommiHealth PLLC
2 Corporate Dr Ste 240
Shelton, CT 064846274
Phone: (508) 658-3489
Fax: (833) 740-3387
Type: Location
959 S Waukegan Rd Fl 2
Lake Forest, IL 600452654
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
3201 Matlock Rd Ste 350
Arlington, TX 760152954
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
144 Oakland St
Wellesley, MA 02481
Phone: (508) 658-3489
Type: Location
2025 Guadalupe St Ste 260
Austin, TX 787055642
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
144 OAKLAND ST
WELLESLEY, MA 024815323
Phone:
Type: Mailing
300 BAKER AVE STE 300
CONCORD, MA 017422124
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| O20240325002040 | O | Clinic/Group Practice | MA | TBD |
| O20240801000515 | O | Clinic/Group Practice | TX | TBD |
| O20250121000072 | O | Clinic/Group Practice | CT | 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 06484)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.