Unknown Individual – Clinical Social Worker, NPI 1417932633

Unknown Individual is a healthcare provider. based in Cranston, Rhode Island. specializing in Clinical Social Worker. They hold a License No. ISW00588 (RI). The NPI Number for Unknown Individual is 1417932633

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1417932633
Phone
(401) 228-7914
Address
1255 OAKLAWN AVE
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012287914
Graduation Year
1976 (50 years ago)
PAC ID
1951478775
Professional Enrollment ID
I20080923000239
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

  • 1255, Oaklawn Avenue, Cranston, Providence County, Rhode Island, 02920, United States

    CRANSTON, RI 029202649

    Phone: (401) 228-7914

    Fax: (401) 228-7916

    Mailing address matches the actual address.

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 02920)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1417932633; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Cranston, Rhode Island because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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