Unknown Individual – Clinical Social Worker, NPI 1427053792

Unknown Individual is a healthcare provider. based in Chagrin falls, Ohio. specializing in Clinical Social Worker. They hold a License No. I3760 (OH). The NPI Number for Unknown Individual is 1427053792

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427053792
Phone
(440) 442-8600
Address
16401 MISTY LAKE GLN
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404428600
Graduation Year
1979 (47 years ago)
PAC ID
5597821421
Professional Enrollment ID
I20090302000366
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

  • 16401 MISTY LAKE GLN

    CHAGRIN FALLS, OH 440234353

    Phone: (440) 442-8600

    Fax: (440) 543-7099

    Type: Mailing

  • Landerhaven, Lander Haven Drive, Mayfield Heights, Cuyahoga County, Ohio, 44124, United States

    STE F

    MAYFIELD HEIGHTS, OH 441244192

    Phone: (440) 442-8600

    Fax: (440) 543-7099

    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.

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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 44023)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1427053792 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Chagrin Falls, Ohio on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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