Unknown Individual – Clinical Social Worker, NPI 1003946757

Unknown Individual is a healthcare provider. based in Saco, Maine. specializing in CLINICAL SOCIAL WORKER. They hold a License No. L#1-07338 (NM). The NPI Number for Unknown Individual is 1003946757

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003946757
Phone
(207) 205-2521
Address
PO BOX 147
Deactivation Date
3 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4981929965
Professional Enrollment ID
I20160531000065
Address ID
ME040749210SC95XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

1,104 CLINICAL SOCIAL WORKER in ME

Provider Addresses for Unknown Individual

  • PO BOX 147

    SACO, ME 040720147

    Phone: (207) 205-2521

    Type: Mailing

  • 9 OLD SAWMILL LN

    ARUNDEL, ME 040468164

    Phone: (207) 205-2521

    Type: Location

  • 95 E GRAND AVE

    SCARBOROUGH, ME 040749210

    Phone: (207) 205-2521

    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.

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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.

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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 04072)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1003946757 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Saco, Maine because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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