Unknown Individual – Clinical Social Worker, NPI 1124138185

Unknown Individual is a healthcare provider. based in Enfield, Connecticut. specializing in Clinical Social Worker. They hold a License No. 000415 (CT). The NPI Number for Unknown Individual is 1124138185

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124138185
Phone
(860) 749-2606
Address
175 COTTAGE RD
Deactivation Date
15 April 2022
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

  • 175, Cottage Road, Shaker Pines, Enfield, Capitol Planning Region, Connecticut, 06082, United States

    ENFIELD, CT 060822208

    Phone: (860) 749-2606

    Fax: (860) 749-0037

    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 06082)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1124138185 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Enfield, Connecticut for Unknown Individual; expand the address list for detail.
What if Enfield, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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