Unknown Individual – Clinical Social Worker, NPI 1710063789

Unknown Individual is a healthcare provider. based in Lock haven, Pennsylvania. specializing in Clinical Social Worker. They hold a License No. 6801066601 (MI). The NPI Number for Unknown Individual is 1710063789

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710063789
Phone
(570) 748-7173
Address
120 S HIGHLAND ST
Deactivation Date
11 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5707487173
Graduation Year
1992 (34 years ago)
PAC ID
3678756376
Group Practice PAC ID
3274890561
Professional Enrollment ID
I20180502002656
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 120, South Highland Street, Lock Haven, Clinton County, Pennsylvania, 17745, United States

    LOCK HAVEN, PA 177452812

    Phone: (570) 748-7173

    Type: Mailing

  • CMH for Central Michigan, 301 S Crapo St

    Mt. Pleasant, MI 488582941

    Phone: (989) 772-5938

    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 17745)

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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: 3274890561View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Clinical Social WorkerPA
Mental Health CounselorPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1710063789 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Lock Haven, Pennsylvania?
If you are local to Lock Haven, Pennsylvania, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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