Unknown Individual – Clinical Social Worker, NPI 1356439426

Unknown Individual is a healthcare provider. based in Sault sainte marie, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801073765 (MI). The NPI Number for Unknown Individual is 1356439426

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356439426
Phone
(906) 635-7270
Address
605 E 7TH AVE APT 9
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9066357270
Graduation Year
1998 (28 years ago)
PAC ID
3173662319
Group Practice PAC ID
3870575624
Professional Enrollment ID
I20091202000214
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

Provider Addresses for Unknown Individual

  • 605 E 7TH AVE APT 9

    SAULT SAINTE MARIE, MI 497833111

    Phone: (906) 635-7270

    Fax: (906) 635-7688

    Type: Mailing

  • 605 E 7th Ave Apt 9

    Sault Sainte Marie, MI 49783

    Phone: (906) 635-7270

    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 49783)

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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: 3870575624View full group profile

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1356439426.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Sault Sainte Marie, Michigan in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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