Unknown Individual – Clinical Social Worker, NPI 1053445478

Unknown Individual is a healthcare provider. based in N dighton, Massachusetts. specializing in Clinical Social Worker. They hold a License No. CSW00413 (RI). The NPI Number for Unknown Individual is 1053445478

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053445478
Phone
(508) 669-5432
Address
2134 HORTON ST
Deactivation Date
22 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173763000
Graduation Year
1984 (42 years ago)
PAC ID
3072679463
Group Practice PAC ID
4486555158
Professional Enrollment ID
I20090310000586
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2134 HORTON ST

    N DIGHTON, MA 027641518

    Phone: (508) 669-5432

    Fax: (774) 872-1007

    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 02764)

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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: 4486555158View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Physician AssistantMA
Clinical Social WorkerMA
O P T O M E T R YMA
Nurse PractitionerMA
Physician AssistantMA
Nurse PractitionerMA
Physician AssistantMA
Infectious Disease, Internal MedicineMA

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1053445478 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with N Dighton?
Public fields place Unknown Individual around N Dighton, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.