Unknown Individual – Clinical Social Worker, NPI 1093910366

Unknown Individual is a healthcare provider. based in Santa cruz, California. specializing in Clinical Social Worker. They hold a License No. LCSW 25015 (CA). The NPI Number for Unknown Individual is 1093910366

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093910366
Phone
(831) 600-2800
Address
2250 SOQUEL AVE
Deactivation Date
6 December 2023
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

  • Soquel Avenue, Live Oak, Santa Cruz County, California, 95065-1711, United States

    SANTA CRUZ, CA 950621402

    Phone: (831) 600-2800

    Type: Mailing

  • 18225 HALE AVE

    MORGAN HILL, CA 950373547

    Phone:

    Type: Mailing

  • 18217 HALE AVE

    MORGAN HILL, CA 950373550

    Phone: (831) 254-1661

    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 95062)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1093910366.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in California is Unknown Individual registered?
Use Santa Cruz, California as the headline location for Unknown Individual here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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