Unknown Individual – Clinical Social Worker, NPI 1215979166

Unknown Individual is a healthcare provider. based in Pike road, Alabama. specializing in Clinical Social Worker. The NPI Number for Unknown Individual is 1215979166

Main info

Organization
Inactive
28 Years Of Experience
Name
Unknown Individual
NPI
1215979166
Phone
(240) 462-4448
Address
95 DOUBLE OAK AVENUE
Deactivation Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
5395049381
Professional Enrollment ID
I20180611000459
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 95, Double Oak Avenue, Pike Road, Montgomery County, Alabama, 36064, United States

    PIKE ROAD, AL 36064

    Phone: (240) 462-4448

    Fax: (334) 356-0468

    Type: Mailing

  • 7051 FAIN PARK DR STE 200

    MONTGOMERY, AL 361177807

    Phone: (240) 462-4448

    Fax: (334) 356-0468

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 36064)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1215979166.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Pike Road, Alabama for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1215979166. Always confirm identity and privileges with the practice and licensing boards.

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