Unknown Individual – Clinical Social Worker, NPI 1861493785

Unknown Individual is a healthcare provider. based in Oberlin, Ohio. specializing in Clinical Social Worker. They hold a License No. I-0005161 (OH). The NPI Number for Unknown Individual is 1861493785

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861493785
Phone
(440) 775-2164
Address
47055 W HAMILTON ST
Deactivation Date
3 April 2025

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
4407757171
Graduation Year
1990 (36 years ago)
PAC ID
1052397312
Group Practice PAC ID
1254317514
Professional Enrollment ID
I20040628000204
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

  • 47055, West Hamilton Street, Oberlin, New Russia Township, Lorain County, Ohio, 44074, United States

    OBERLIN, OH 440749431

    Phone: (440) 775-2164

    Fax: (440) 774-2339

    Type: Mailing

  • Huntington Bank, 5, South Main Street, Oberlin, New Russia Township, Lorain County, Ohio, 44074, United States

    SUITE 302

    OBERLIN, OH 440741677

    Phone: (440) 775-7171

    Fax: (440) 774-2339

    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 44074)

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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: 1254317514View full group profile
NameSpecialtyState
-OH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1861493785 — the number used across U.S. healthcare to identify this provider.
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.
What practice footprint exists for Unknown Individual?
Travel planning: use Oberlin, Ohio as the reference point for Unknown Individual, then confirm.
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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