Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1578657102

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. AD0006 (MD). The NPI Number for Unknown Individual is 1578657102

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578657102
Phone
(302) 275-5676
Address
1601 KIRKWOOD HWY
Deactivation Date
18 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Veterans Affairs Medical Center Wilmington, 1601, Kirkwood Highway, Wilmington, New Castle County, Delaware, 19805, United States

    WILMINGTON, DE 19805

    Phone: (302) 275-5676

    Type: Location

  • Newark, Essex County, New Jersey, United States

    NEWARK, DE 197150021

    Phone: (302) 740-1694

    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.

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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 19805)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1578657102.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Wilmington, Delaware. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.