Unknown Individual – Clinical Social Worker, NPI 1124125455

Unknown Individual is a healthcare provider. based in East brunswick, New Jersey. specializing in Clinical Social Worker. They hold a License No. 44SCO0300005100 (NJ). The NPI Number for Unknown Individual is 1124125455

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124125455
Phone
(732) 257-0427
Address
1 RUTH ST
Deactivation Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327358408
Graduation Year
1986 (40 years ago)
PAC ID
9931148574
Professional Enrollment ID
I20050503000327
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

  • 1, Ruth Street, Washington Heights, Lawrence Brook Manor, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088161415

    Phone: (732) 257-0427

    Fax: (732) 257-0427

    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 08816)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1124125455 for Unknown Individual, then check state licensing separately.
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's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect East Brunswick, New Jersey as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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