Unknown Individual – Clinical Social Worker, NPI 1710918156

Unknown Individual is a healthcare provider. based in Clarkston, Michigan. specializing in Clinical Social Worker. They hold a License No. 1-00634 (MI). The NPI Number for Unknown Individual is 1710918156

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710918156
Phone
(248) 620-3960
Address
10035 SPRINGTIME CIR
Deactivation Date
27 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489222300
Graduation Year
1977 (49 years ago)
PAC ID
1355351206
Group Practice PAC ID
7911995139
Professional Enrollment ID
I20060424000029
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 10035 SPRINGTIME CIR

    CLARKSTON, MI 483481643

    Phone: (248) 620-3960

    Type: Mailing

  • Woodward Avenue, Bloomfield Hills, Oakland County, Michigan, 48304, United States

    BLOOMFIELD HILLS, MI 483025027

    Phone: (248) 338-2988

    Fax: (248) 338-1322

    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 48348)

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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: 7911995139View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1710918156 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Clarkston, Michigan for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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