Unknown Individual – Clinical Social Worker, NPI 1619915212

Unknown Individual is a healthcare provider. based in Greenfield, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 113198 (MA). The NPI Number for Unknown Individual is 1619915212

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619915212
Phone
(413) 772-2935
Address
55 FEDERAL ST
Deactivation Date
24 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
4135401210
Graduation Year
1995 (31 years ago)
PAC ID
0345244950
Group Practice PAC ID
4981694999
Professional Enrollment ID
I20060912000475
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

  • 55, Federal Street, Greenfield, Franklin County, Massachusetts, 01301, United States

    GREENFIELD, MA 013012546

    Phone: (413) 772-2935

    Fax: (413) 772-3724

    Type: Location

  • 163, Northampton Street, Easthampton, Hampshire County, Massachusetts, 01061, United States

    EASTHAMPTON, MA 010271158

    Phone: (413) 320-9555

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01301)

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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: 4981694999View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical PsychologistMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical PsychologistMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1619915212 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Greenfield, Massachusetts in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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