Unknown Individual – Clinical Social Worker, NPI 1508036724

Unknown Individual is a healthcare provider. based in Oakland park, Florida. specializing in Clinical Social Worker. They hold a License No. SW3352 (FL). The NPI Number for Unknown Individual is 1508036724

Main info

Organization
Inactive
45 Years Of Experience
Name
Unknown Individual
NPI
1508036724
Phone
(954) 401-4561
Address
1921 NW 41ST ST
Deactivation Date
27 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614041422
Graduation Year
1981 (45 years ago)
PAC ID
8628259587
Group Practice PAC ID
4981927373
Professional Enrollment ID
I20110224000817
Data current as of
20 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

  • 1921, Northwest 41st Street, Oakland Park, Broward County, Florida, 33309, United States

    OAKLAND PARK, FL 333094423

    Phone: (954) 401-4561

    Fax: (954) 735-9553

    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 33309)

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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: 4981927373View full group profile

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1508036724.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Oakland Park, Florida in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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