Unknown Individual – Clinical Social Worker, NPI 1629104161

Unknown Individual is a healthcare provider. based in Newton, New Jersey. specializing in Clinical Social Worker. They hold a License No. SC05851 (NJ). The NPI Number for Unknown Individual is 1629104161

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629104161
Phone
(973) 300-0428
Address
936 Potters Rd
Deactivation Date
27 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9733000428
Graduation Year
1983 (43 years ago)
PAC ID
5395782841
Professional Enrollment ID
I20050415000215
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

  • 936 Potters Rd

    Newton, NJ 078604202

    Phone: (973) 300-0428

    Fax: (973) 300-1380

    Type: Location

  • 936 POTTERS RD

    NEWTON, NJ 078604202

    Phone: (973) 300-0428

    Fax: (973) 300-1380

    Type: Mailing

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.

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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.

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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 07860)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1629104161?
NPI 1629104161 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Newton?
Public fields place Unknown Individual around Newton, New Jersey. Always confirm the exact site before visiting.
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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