Unknown Individual – Clinical Social Worker, NPI 1639166267

Unknown Individual is a healthcare provider. based in Silver spring, Maryland. specializing in Clinical Social Worker. They hold a License No. 653 (MD). The NPI Number for Unknown Individual is 1639166267

Main info

Organization
Inactive
77 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639166267
Phone
(301) 586-9357
Address
3118 GRACEFIELD RD
Deactivation Date
9 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015869357
Graduation Year
1949 (77 years ago)
PAC ID
7315014198
Professional Enrollment ID
I20080919000348
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

Provider Addresses for Unknown Individual

  • 3118 GRACEFIELD RD

    APT T-10

    SILVER SPRING, MD 209047845

    Phone: (301) 586-9357

    Fax: (301) 586-8433

    Type: Mailing

  • 3118 GRACEFIELD RD APT T10

    COLESVILLE TOWERS, 8811 COLESVILLE ROAD, SUITE 116

    SILVER SPRING, MD 209047870

    Phone: (301) 586-8357

    Fax: (301) 586-8433

    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 20904)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1639166267 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Maryland?
You will see Silver Spring, Maryland on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1639166267. Always confirm identity and privileges with the practice and licensing boards.

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