Unknown Individual – Clinical Social Worker, NPI 1457327603

Unknown Individual is a healthcare provider. based in Belfair, Washington. specializing in Clinical Social Worker. They hold a License No. LW00005071 (WA). The NPI Number for Unknown Individual is 1457327603

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457327603
Phone
(360) 876-1496
Address
3530 NE OLD BELFAIR HWY
Deactivation Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608765483
Graduation Year
1987 (39 years ago)
PAC ID
4981626520
Professional Enrollment ID
I20051227000129
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

  • 3530 NE OLD BELFAIR HWY

    PMB 10

    BELFAIR, WA 985289646

    Phone: (360) 876-1496

    Type: Mailing

  • 3434 N MISSION RD W

    BREMERTON, WA 983129735

    Phone: (360) 876-1496

    Type: Location

  • 8987, McConnell Avenue Northwest, Silverdale, Kitsap County, Washington, 98383, United States

    SILVERDALE, WA 983838305

    Phone: (360) 876-1496

    Fax: (360) 307-8657

    Type: Mailing

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour11113$0
View full utilization report →

Insurance plans in this area (ZIP 98528)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1457327603 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Belfair, Washington may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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