Unknown Individual – Social Worker, NPI 1528042850

Unknown Individual is a healthcare provider. based in Plymouth, Massachusetts. specializing in Social Worker. They hold a License No. 105196 (MA). The NPI Number for Unknown Individual is 1528042850

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528042850
Phone
(508) 830-9562
Address
64 INDUSTRIAL PARK RD
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088309562
Graduation Year
1980 (46 years ago)
PAC ID
4486670809
Group Practice PAC ID
3476580986
Professional Enrollment ID
I20051014000751
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

  • 64, Industrial Park Road, Plymouth Mobile Estates, Plymouth, Plymouth County, Massachusetts, 02360-7310, United States

    INTEGRATED COUNSELING CENTERS, INC.

    PLYMOUTH, MA 023604829

    Phone: (508) 830-9562

    Fax: (508) 830-6735

    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 02360)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1528042850 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Plymouth, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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