Unknown Individual – Clinical Social Worker, NPI 1750481354

Unknown Individual is a healthcare provider. based in Port townsend, Washington. specializing in Clinical Social Worker. They hold a License No. LW00007915 (WA). The NPI Number for Unknown Individual is 1750481354

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750481354
Phone
(360) 379-5339
Address
530 19TH ST
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603795339
Graduation Year
1999 (27 years ago)
PAC ID
9133206899
Professional Enrollment ID
I20080404000275
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

  • 530, 19th Street, Laurel Heights, Port Townsend, Jefferson County, Washington, 98368, United States

    PORT TOWNSEND, WA 983686007

    Phone: (360) 379-5339

    Fax: (360) 379-5339

    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 98368)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1750481354 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Port Townsend, Washington in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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