Unknown Individual – Clinical Social Worker, NPI 1285655712

Unknown Individual is a healthcare provider. based in Deerfield beach, Florida. specializing in Clinical Social Worker. They hold a License No. SW7079 (FL). The NPI Number for Unknown Individual is 1285655712

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285655712
Phone
(561) 361-0500
Address
110 SE 7TH ST
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613610500
Graduation Year
1987 (39 years ago)
PAC ID
0648308361
Group Practice PAC ID
3779567375
Professional Enrollment ID
I20100517000334
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

  • 110, Southeast 7th Street, Arlington Park, Deerfield Beach, Broward County, Florida, 33441, United States

    APT 6

    DEERFIELD BEACH, FL 334415356

    Phone: (561) 361-0500

    Fax: (561) 479-0384

    Type: Mailing

  • Glades Road, Boca Raton, Palm Beach County, Florida, 33432, United States

    SUITE B

    BOCA RATON, FL 334343939

    Phone: (561) 361-0500

    Fax: (561) 479-0384

    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.

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 33441)

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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: 3779567375View full group profile

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1285655712.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Deerfield Beach, Florida.
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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