Unknown Individual – Clinical Social Worker, NPI 1407907991

Clinical Social Worker

Unknown Individual is a healthcare provider. based in Oviedo, Florida. specializing in Clinical Social Worker. They hold a License No. SW3921 (FL). The NPI Number for Unknown Individual is 1407907991

Main info

Organization

Inactive

47 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1407907991

Phone

(407) 754-4690

Address

1200 VAN ARSDALE ST

Deactivation Date

2 November 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4077544690

Graduation Year

1979 (47 years ago)

PAC ID

6507033602

Professional Enrollment ID

I20120112000430

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

Van Arsdale Street, Oviedo Forest, Oviedo, Seminole County, Florida, 32765-8888, United States
OVIEDO, FL 327659279
Phone: (407) 754-4690
Fax: (407) 366-7966
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 32765)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1407907991 in the public NPI dataset.

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.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Oviedo, Florida; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.