Unknown Individual – Clinical Social Worker, NPI 1730327032

Unknown Individual is a healthcare provider. based in Jackson, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801086261 (MI). The NPI Number for Unknown Individual is 1730327032

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730327032
Phone
(517) 782-2551
Address
1522 JOY AVE
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177822442
Graduation Year
2003 (23 years ago)
PAC ID
3870734262
Group Practice PAC ID
3577512565
Professional Enrollment ID
I20130727000180
Data current as of
20 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

  • Joy Avenue, Jackson County, Florida, United States

    JACKSON, MI 492031933

    Phone: (517) 782-2551

    Fax: (517) 783-1986

    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

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 49203)

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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: 3577512565View full group profile
NameSpecialtyState
Clinical PsychologistMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1730327032.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Jackson?
Unknown Individual currently maps to Jackson, Michigan in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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