Unknown Individual – Clinical Social Worker, NPI 1982698429

Unknown Individual is a healthcare provider. based in Old lyme, Connecticut. specializing in Clinical Social Worker. They hold a License No. 838 (CT). The NPI Number for Unknown Individual is 1982698429

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982698429
Phone
(860) 434-7680
Address
9 LYME ST
Deactivation Date
1 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604347680
Graduation Year
1963 (63 years ago)
PAC ID
5991725038
Professional Enrollment ID
I20051202000770
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

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Provider Addresses for Unknown Individual

  • 9, Lyme Street, Old Lyme Historic District, Old Lyme, Lower Connecticut River Valley Planning Region, Connecticut, 06371, United States

    STE 12

    OLD LYME, CT 063712337

    Phone: (860) 434-7680

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06371)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1982698429 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Old Lyme?
Public fields place Unknown Individual around Old Lyme, Connecticut. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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