Unknown Individual – Clinical Social Worker, NPI 1306853759

Unknown Individual is a healthcare provider. based in Brownsburg, Indiana. specializing in Clinical Social Worker. They hold a License No. 34004212A (IN). The NPI Number for Unknown Individual is 1306853759

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306853759
Phone
(317) 919-0093
Address
1559 REDSUNSET DR
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124862333
Graduation Year
1998 (28 years ago)
PAC ID
2860667201
Group Practice PAC ID
7416137930
Professional Enrollment ID
I20111213000461
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

  • 1559 REDSUNSET DR

    BROWNSBURG, IN 461127732

    Phone: (317) 919-0093

    Type: Mailing

  • 701, North Englewood Drive, Crawfordsville, Montgomery County, Indiana, 47933, United States

    CRAWFORDSVILLE, IN 479339744

    Phone: (765) 361-9767

    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 46112)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1306853759 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Indiana is Unknown Individual registered?
Use Brownsburg, Indiana as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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