Unknown Individual – Clinical Social Worker, NPI 1922044312

Unknown Individual is a healthcare provider. based in West roxbury, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 1020676 (MA). The NPI Number for Unknown Individual is 1922044312

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922044312
Phone
(617) 794-0504
Address
36 HEMLOCK RD
Deactivation Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177940504
Graduation Year
1989 (37 years ago)
PAC ID
9335037357
Professional Enrollment ID
I20040310000169
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

  • 36, Hemlock Road, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States

    WEST ROXBURY, MA 021325441

    Phone: (617) 794-0504

    Fax: (617) 477-3484

    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

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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 02132)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1922044312 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect West Roxbury, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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