Unknown Individual – Clinical Social Worker, NPI 1003291659

Unknown Individual is a healthcare provider. based in Seattle, Washington. specializing in Clinical Social Worker. They hold a License No. LW00005866 (WA). The NPI Number for Unknown Individual is 1003291659

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003291659
Phone
(509) 241-7938
Address
310 15TH AVE E
Deactivation Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063263867
Graduation Year
1993 (33 years ago)
PAC ID
6103182498
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20171101002859
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 310 15TH AVE E

    SEATTLE, WA 981125103

    Phone: (509) 241-7938

    Fax: (206) 326-2785

    Type: Mailing

  • 2614 168TH AVE NE

    BELLEVUE, WA 980082234

    Phone: (425) 899-6310

    Fax: (425) 899-6301

    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 98112)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1003291659 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Seattle, Washington for Unknown Individual; expand the address list for detail.
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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