Unknown Individual – Clinical Social Worker, NPI 1871517680

Unknown Individual is a healthcare provider. based in New milford, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 001005 (CT). The NPI Number for Unknown Individual is 1871517680

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871517680
Phone
(860) 355-9233
Address
29 STERLING DR
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603559233
Graduation Year
1980 (46 years ago)
PAC ID
8527235258
Professional Enrollment ID
I20120220000908
Address ID
CT067762210NE29XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for Unknown Individual

  • 29, Sterling Drive, Northville, New Milford, Western Connecticut Planning Region, Connecticut, 06776, United States

    NEW MILFORD, CT 067762210

    Phone: (860) 355-9233

    Fax: (860) 354-3493

    Mailing address matches the actual address.

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.

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

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18815$0
View full utilization report →

Insurance plans in this area (ZIP 06776)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1871517680.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near New Milford, Connecticut may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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