Unknown Individual – Social Worker, NPI 1316204589

Unknown Individual is a healthcare provider. based in Allison park, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold a License No. SW123410 (PA). The NPI Number for Unknown Individual is 1316204589

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316204589
Phone
(412) 486-2948
Address
4284 WILLIAM FLYNN HWY
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123422270
Graduation Year
1997 (29 years ago)
PAC ID
6608198775
Group Practice PAC ID
7517206246
Professional Enrollment ID
I20141126000600
Address ID
PA150686232NE1045XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for Unknown Individual

  • 4284 WILLIAM FLYNN HWY

    CASTELTOWN SQUARE SOUTH, SUITE 201

    ALLISON PARK, PA 151011439

    Phone: (412) 486-2948

    Fax: (412) 486-5676

    Type: Location

  • 847 CEDARWOOD DR

    PITTSBURGH, PA 152352604

    Phone: (412) 983-8017

    Type: Mailing

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.

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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 15101)

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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: 7517206246View 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 1316204589 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Allison Park, Pennsylvania.
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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