Unknown Individual – Clinical Social Worker, NPI 1891719969

Unknown Individual is a healthcare provider. based in Canton, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 102890 (MA). The NPI Number for Unknown Individual is 1891719969

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891719969
Phone
(781) 821-9343
Address
60 MAPLE ST APT A
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817841700
Graduation Year
1961 (65 years ago)
PAC ID
0143279380
Professional Enrollment ID
I20060828000055
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

  • 60 MAPLE ST APT A

    CANTON, MA 020212975

    Phone: (781) 821-9343

    Type: Mailing

  • 62, South Main Street, Sharon Heights, Sharon, Norfolk County, Massachusetts, 02067, United States

    SHARON, MA 020670336

    Phone: (781) 784-1700

    Fax: (781) 784-4602

    Type: Location

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 02021)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1891719969 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Canton, Massachusetts for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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