Unknown Individual – Clinical Social Worker, NPI 1992707624

Unknown Individual is a healthcare provider. based in Englewood, New Jersey. specializing in Clinical Social Worker. They hold a License No. R028424-1 (NY). The NPI Number for Unknown Individual is 1992707624

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992707624
Phone
(201) 567-1414
Address
214 ENGLE ST
Deactivation Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2015199228
Graduation Year
1982 (44 years ago)
PAC ID
6204876691
Professional Enrollment ID
I20050505000013
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

  • Engle Street, Englewood, Bergen County, New Jersey, 07670, United States

    SUITE #23

    ENGLEWOOD, NJ 076312443

    Phone: (201) 567-1414

    Fax: (845) 354-3866

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes7011$0
View full utilization report →

Insurance plans in this area (ZIP 07631)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1992707624 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in New Jersey?
You will see Englewood, New Jersey on file for Unknown Individual alongside any extra practice locations.
What if Englewood, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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