Unknown Individual – Clinical Social Worker, NPI 1255431011

Unknown Individual is a healthcare provider. based in Centerville, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 104852 (MA). The NPI Number for Unknown Individual is 1255431011

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255431011
Phone
(508) 775-2059
Address
7 WOODVALE LN
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087752059
Graduation Year
1981 (45 years ago)
PAC ID
9931133113
Professional Enrollment ID
I20050927000420
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

  • 7, Woodvale Lane, Centerville, Barnstable, Barnstable County, Massachusetts, 02632, United States

    PO BOX 58

    CENTERVILLE, MA 026322220

    Phone: (508) 775-2059

    Fax: (508) 775-8780

    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 02632)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1255431011 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Centerville?
Public fields place Unknown Individual around Centerville, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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