Unknown Individual – Clinical Social Worker, NPI 1750444824

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Clinical Social Worker. They hold a License No. 3281 (KY). The NPI Number for Unknown Individual is 1750444824

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750444824
Phone
(419) 251-9830
Address
2200 JEFFERSON AVE
Deactivation Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705385700
Graduation Year
1997 (29 years ago)
PAC ID
3678697133
Group Practice PAC ID
1153488648
Professional Enrollment ID
I20100904000032
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

  • 2200, Jefferson Avenue, Uptown, Toledo, Lucas County, Ohio, 43604, United States

    5TH FLOOR MERCY PHO/CVO

    TOLEDO, OH 436047101

    Phone: (419) 251-9830

    Fax: (419) 251-1826

    Type: Mailing

  • Medical Center Drive, Forest Hill, Paducah, McCracken County, Kentucky, 42003, United States

    SUITE 201

    PADUCAH, KY 420037914

    Phone: (270) 441-4200

    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 43604)

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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: 1153488648View full group profile

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1750444824 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Toledo, Ohio as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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