Unknown Individual – Clinical Social Worker, NPI 1366479792

Unknown Individual is a healthcare provider. based in Woodbury, Connecticut. specializing in Clinical Social Worker. They hold a License No. 002511 (CT). The NPI Number for Unknown Individual is 1366479792

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366479792
Phone
(203) 745-2326
Address
43 SHERMAN HILL RD
Deactivation Date
22 January 2026
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

  • 43, Sherman Hill Road, Pomeraug, Woodbury, Litchfield County, Connecticut, 06798, United States

    BLG D, SUITE 103

    WOODBURY, CT 067983651

    Phone: (203) 745-2326

    Fax: (203) 519-7979

    Type: Location

  • 129, Main Street North, Southbury Historic District No. 1, Southbury, Naugatuck Valley Planning Region, Connecticut, 06488, United States

    SOUTHBURY, CT 064883840

    Phone: (203) 745-2326

    Fax: (203) 519-7979

    Type: Mailing

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 06798)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1366479792 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
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.
Where should I expect Unknown Individual on a map?
Expect Woodbury, Connecticut as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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