Unknown Individual – Clinical Social Worker, NPI 1730162561

Unknown Individual is a healthcare provider. based in Methuen, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 102311 (MA). The NPI Number for Unknown Individual is 1730162561

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730162561
Phone
(978) 682-2925
Address
55 HARVARD AVE
Deactivation Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787581177
Graduation Year
1978 (48 years ago)
PAC ID
1456429067
Professional Enrollment ID
I20081009000553
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, Harvard Avenue, Marsh Corner, Methuen, Essex County, Massachusetts, 01844, United States

    METHUEN, MA 018441515

    Phone: (978) 682-2925

    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.

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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 01844)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1730162561.
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's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Methuen, Massachusetts may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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