Unknown Individual – Clinical Social Worker, NPI 1174568976

Unknown Individual is a healthcare provider. based in Bridgeport, Connecticut. specializing in Clinical Social Worker. They hold a License No. 004352 (CT). The NPI Number for Unknown Individual is 1174568976

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174568976
Phone
(203) 243-0929
Address
144 GOLDEN HILL STREET
Deactivation Date
15 November 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

  • 144, Golden Hill Street, Golden Hill Historic District, East Bridgeport, Bridgeport, Greater Bridgeport Planning Region, Connecticut, 06604, United States

    SUITE 202

    BRIDGEPORT, CT 066044406

    Phone: (203) 243-0929

    Fax: (203) 331-8288

    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 06604)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1174568976.
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 Bridgeport, Connecticut may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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