Unknown Individual – Clinical Social Worker, NPI 1336282516

Unknown Individual is a healthcare provider. based in Cleveland, Ohio. specializing in Clinical Social Worker. They hold a License No. I-0008848 (OH). The NPI Number for Unknown Individual is 1336282516

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336282516
Phone
(216) 476-8239
Address
12515 SUMMERLAND AVE
Deactivation Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402337232
Graduation Year
1998 (28 years ago)
PAC ID
1052347788
Group Practice PAC ID
1557312535
Professional Enrollment ID
I20050713000734
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

  • 12515 SUMMERLAND AVE

    CLEVELAND, OH 441115162

    Phone: (216) 476-8239

    Type: Mailing

  • 6140 S BROADWAY

    LORAIN, OH 440533821

    Phone: (440) 204-4100

    Fax: (440) 233-4468

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44111)

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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: 1557312535View full group profile
NameSpecialtyState
Clinical Social WorkerOH
P S Y C H I A T R YOH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
P S Y C H I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH

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 1336282516.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
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.
Where in Ohio is Unknown Individual registered?
Use Cleveland, Ohio as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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