Unknown Individual – Clinical Social Worker, NPI 1013032093

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Clinical Social Worker. They hold a License No. SW5628 (FL). The NPI Number for Unknown Individual is 1013032093

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013032093
Phone
(561) 789-3447
Address
1645 Palm Beach Lakes Blvd Ste 440
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612702280
Graduation Year
1996 (30 years ago)
PAC ID
5395170666
Group Practice PAC ID
0840385753
Professional Enrollment ID
I20200114002410
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

Provider Addresses for Unknown Individual

  • 1645 Palm Beach Lakes Blvd Ste 440

    West Palm Beach, FL 334012217

    Phone: (561) 789-3447

    Type: Location

  • 11120 S Crown Way Ste 1

    Wellington, FL 334148718

    Phone: (561) 790-1191

    Type: Location

  • 802 W WINDWARD WAY

    APT 204

    LANTANA, FL 33462

    Phone: (561) 540-3666

    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.

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 hour24418$0
View full utilization report →

Insurance plans in this area (ZIP 33401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840385753View full group profile

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1013032093 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on West Palm Beach, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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