Unknown Individual – Social Worker, NPI 1336247162

Unknown Individual is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Social Worker. They hold a License No. 6801018954 (MI). The NPI Number for Unknown Individual is 1336247162

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336247162
Phone
(248) 332-6406
Address
2310 PARK RIDGE DRIVE
Deactivation Date
27 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486201019
Graduation Year
1966 (60 years ago)
PAC ID
1355306556
Group Practice PAC ID
6507872520
Professional Enrollment ID
I20041130000519
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

  • 2310, Park Ridge Drive, Adams Square, Bloomfield Hills, Oakland County, Michigan, 48304, United States

    BLOOMFIELD HILLS, MI 483041485

    Phone: (248) 332-6406

    Fax: (248) 332-6406

    Type: Mailing

  • Clarkston Oaks Family Dentistry, Dixie Highway, Independence Charter Township, Oakland County, Michigan, 48346, United States

    SUITE A

    CLARKSTON, MI 48346

    Phone: (248) 620-1019

    Fax: (248) 620-1026

    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 48304)

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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: 6507872520View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1336247162 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
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 Social Worker. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Bloomfield Hills, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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