Unknown Individual – Clinical Social Worker, NPI 1184812547

Unknown Individual is a healthcare provider. based in Trenton, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801080410 (MI). The NPI Number for Unknown Individual is 1184812547

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184812547
Phone
(734) 402-7036
Address
2160 4TH ST
Deactivation Date
22 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344790949
Graduation Year
2000 (26 years ago)
PAC ID
8123017431
Group Practice PAC ID
2567623655
Professional Enrollment ID
I20040511001192
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

  • 2160, 4th Street, Trenton, Wayne County, Michigan, 48183, United States

    TRENTON, MI 481832122

    Phone: (734) 402-7036

    Type: Mailing

  • Century 21 A-1 Realty, 19366, Allen Road, Wayne County, Michigan, 48183, United States

    BROWNSTOWN TWP, MI 481836809

    Phone: (734) 479-0949

    Fax: (734) 479-1637

    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 48183)

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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: 2567623655View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1184812547 — is the standard way to identify this listing.
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 best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Trenton, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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