Unknown Individual – Clinical Social Worker, NPI 1033125554

Unknown Individual is a healthcare provider. based in Quincy, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 101981 (MA). The NPI Number for Unknown Individual is 1033125554

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033125554
Phone
(617) 479-4545
Address
1261 FURNACE BROOK PKWY
Deactivation Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174794545
Graduation Year
1962 (64 years ago)
PAC ID
3173557469
Group Practice PAC ID
4183524887
Professional Enrollment ID
I20050926000964
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

  • 1261, Furnace Brook Parkway, North Commons, Quincy, Norfolk County, Massachusetts, 02169, United States

    SUITE 31

    QUINCY, MA 021694721

    Phone: (617) 479-4545

    Type: Location

  • 45, Puritan Drive, North Commons, Quincy, Norfolk County, Massachusetts, 02169, United States

    QUINCY, MA 021691723

    Phone: (617) 479-4545

    Type: Mailing

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour31437$0
90834Psychotherapy, 45 minutes23137$0
90832Psychotherapy, 30 minutes10922$0
View full utilization report →

Insurance plans in this area (ZIP 02169)

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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: 4183524887View full group profile
NameSpecialtyState
Nurse PractitionerMA
Clinical PsychologistMA
Clinical Social WorkerMA
Clinical Social WorkerMA
-MA
-MA
Clinical PsychologistVA
-MA
Clinical Social WorkerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1033125554.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Quincy, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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