Unknown Individual – Clinical Social Worker, NPI 1386794782

Unknown Individual is a healthcare provider. based in Sterling, Virginia. specializing in Clinical Social Worker. They hold a License No. 0904002054 (VA). The NPI Number for Unknown Individual is 1386794782

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386794782
Phone
(703) 433-1553
Address
2 PIDGEON HILL DR
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
70343315531
Graduation Year
1979 (47 years ago)
PAC ID
5597927491
Professional Enrollment ID
I20120509000520
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2, Pidgeon Hill Drive, Sterling, Loudoun County, Virginia, 20165, United States

    SUITE 450

    STERLING, VA 201656145

    Phone: (703) 433-1553

    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.

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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 20165)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1386794782 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Sterling, Virginia as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.