Unknown Individual – Clinical Social Worker, NPI 1649340779

Unknown Individual is a healthcare provider. based in Dresher, Pennsylvania. specializing in Clinical Social Worker. They hold a License No. CW000162L (PA). The NPI Number for Unknown Individual is 1649340779

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649340779
Phone
(215) 657-1764
Address
1227 DUNDEE DRIVE
Deactivation Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2152471895
Graduation Year
1979 (47 years ago)
PAC ID
3870633464
Professional Enrollment ID
I20091211000357
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

  • 1227 DUNDEE DRIVE

    DRESHER, PA 190251617

    Phone: (215) 657-1764

    Fax: (215) 657-4295

    Type: Mailing

  • 8627, Germantown Avenue, Chestnut Hill, Northwest Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19118, United States

    PHILADELPHIA, PA 191182839

    Phone: (215) 247-1895

    Fax: (215) 657-4295

    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 19025)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1649340779 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Dresher, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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