Unknown Individual – Clinical Social Worker, NPI 1811976038

Unknown Individual is a healthcare provider. based in Lexington, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 1017163 (MA). The NPI Number for Unknown Individual is 1811976038

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811976038
Phone
(978) 443-0998
Address
15 HIGHLAND AVE
Deactivation Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784430998
Graduation Year
1977 (49 years ago)
PAC ID
4183538051
Professional Enrollment ID
I20031114000413
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

  • 15, Highland Avenue, Lexington, Middlesex County, Massachusetts, 02420, United States

    LEXINGTON, MA 024215601

    Phone: (978) 443-0998

    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 02421)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1811976038 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
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.
Where in Massachusetts is Unknown Individual registered?
Use Lexington, Massachusetts as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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