Unknown Individual – Clinical Social Worker, NPI 1508921271

Unknown Individual is a healthcare provider. based in Abington, Pennsylvania. specializing in Clinical Social Worker. They hold a License No. CSW013312 (PA). The NPI Number for Unknown Individual is 1508921271

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1508921271
Phone
(215) 884-1776
Address
1369 OLD YORK RD
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2158841776110
Graduation Year
1996 (30 years ago)
PAC ID
9830162395
Group Practice PAC ID
0749192805
Professional Enrollment ID
I20040813000879
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

  • Old York Road, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19001, United States

    ABINGTON, PA 190013411

    Phone: (215) 884-1776

    Fax: (215) 884-0171

    Type: Location

  • 1540, Briar Hill Road, Roseglen, Gladwyne, Lower Merion Township, Montgomery County, Pennsylvania, 19035, United States

    GLADWYNE, PA 190351203

    Phone: (610) 642-1900

    Fax: (610) 642-5413

    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.

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 19001)

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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: 0749192805View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1508921271 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
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.
What location metadata exists for Unknown Individual?
The page summarizes Abington, Pennsylvania for Unknown Individual; expand the address list for detail.
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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