Unknown Individual – Clinical Social Worker, NPI 1437187267

Unknown Individual is a healthcare provider. based in Lawrenceville, Georgia. specializing in Clinical Social Worker. They hold a License No. 792 (GA). The NPI Number for Unknown Individual is 1437187267

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437187267
Phone
(770) 995-7789
Address
175 LANGLEY DR
Deactivation Date
20 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047137998
Graduation Year
1976 (50 years ago)
PAC ID
8123011814
Professional Enrollment ID
I20040413001089
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

  • 175, Langley Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    STE C-1

    LAWRENCEVILLE, GA 30045

    Phone: (770) 995-7789

    Fax: (770) 995-0171

    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 30045)

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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 1437187267 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
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 address line appears for Unknown Individual?
Unknown Individual's geographic hint is Lawrenceville, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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