Unknown Individual – Clinical Social Worker, NPI 1255449773

Unknown Individual is a healthcare provider. based in Bellingham, Washington. specializing in Clinical Social Worker. They hold a License No. LW00008487 (WA). The NPI Number for Unknown Individual is 1255449773

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255449773
Phone
Not provided
Address
2100 ELECTRIC AVE APT 332
Deactivation Date
29 April 2023

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3606766177
Graduation Year
2001 (25 years ago)
PAC ID
3971636283
Group Practice PAC ID
7911897699
Professional Enrollment ID
I20100805000985
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

Provider Addresses for Unknown Individual

  • 2100 ELECTRIC AVE APT 332

    BELLINGHAM, WA 982294563

    Phone:

    Type: Mailing

  • 1616 CORNWALL AVE. STE.205

    BELLINGHAM, WA 982254429

    Phone: (360) 676-6177

    Fax: (360) 671-3574

    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.

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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 98229)

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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: 7911897699View full group profile
NameSpecialtyState
Physician AssistantCA
Clinical Social WorkerWA
Mental Health CounselorWA
-WY
Mental Health CounselorWA
Clinical Social WorkerWA
-WA
Nurse PractitionerWA
Physician AssistantWA
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1255449773.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
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.
Where is Unknown Individual's primary listing?
We display Bellingham, Washington because that is what the record indicates for Unknown Individual.
What if Bellingham, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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