Unknown Individual – Social Worker, NPI 1457392995

Unknown Individual is a healthcare provider. based in Bangor, Maine. specializing in Social Worker. They hold a License No. LC6070 (ME). The NPI Number for Unknown Individual is 1457392995

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457392995
Phone
(207) 907-7205
Address
29 FRANKLIN ST
Deactivation Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079423816
Graduation Year
1996 (30 years ago)
PAC ID
1850337049
Group Practice PAC ID
5092709345
Professional Enrollment ID
I20050628000821
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

  • 29, Franklin Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044014909

    Phone: (207) 907-7205

    Fax: (207) 561-4725

    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 04401)

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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: 5092709345View full group profile
NameSpecialtyState
Clinical PsychologistME
Clinical Social WorkerME
Clinical Social WorkerME
Clinical Social WorkerME

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 1457392995 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 Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Bangor, Maine as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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