Unknown Individual – Clinical Social Worker, NPI 1174635577

Unknown Individual is a healthcare provider. based in Newington, Connecticut. specializing in Clinical Social Worker. They hold a License No. 15735 (TX). The NPI Number for Unknown Individual is 1174635577

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174635577
Phone
(860) 666-6951
Address
555 WILLARD AVE
Deactivation Date
12 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Veterans Affairs Connecticut Healthcare System Newington Campus, 555, Willard Avenue, Newington Junction South Historic District, Newington Junction, Newington, Hartford County, Connecticut, 06111, United States

    NEWINGTON VA HEALTH CARE, SOCIAL WORK SUPERVISOR

    NEWINGTON, CT 061112631

    Phone: (860) 666-6951

    Fax: (860) 667-6872

    Type: Mailing

  • 222, McKee Street, Manchester, Capitol Planning Region, Connecticut, 06040, United States

    MANCHESTER, CT 060404800

    Phone: (860) 922-4180

    Fax: (888) 855-7440

    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.

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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 06111)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1174635577 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Clinical Social Worker is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Newington, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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