Unknown Individual – Clinical Social Worker, NPI 1629100771

Unknown Individual is a healthcare provider. based in Cedar grove, New Jersey. specializing in Clinical Social Worker. They hold a License No. SC 01478100 (NJ). The NPI Number for Unknown Individual is 1629100771

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629100771
Phone
(201) 306-4015
Address
33 HIGHFIELD LN
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
7012152085
Professional Enrollment ID
I20130321000537
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

  • 33 HIGHFIELD LN

    CEDAR GROVE, NJ 070091503

    Phone: (201) 306-4015

    Type: Mailing

  • 51 UPPER MONTCLAIR PLZ

    STE 21

    UPPER MONTCLAIR, NJ 070431340

    Phone: (201) 306-4015

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18812$0
View full utilization report →

Insurance plans in this area (ZIP 07009)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1629100771.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Cedar Grove, New Jersey in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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