Unknown Individual – Clinical Social Worker, NPI 1316128200

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Clinical Social Worker. They hold a License No. SW7021 (FL). The NPI Number for Unknown Individual is 1316128200

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316128200
Phone
(954) 701-2012
Address
915 MIDDLE RIVER DR
Deactivation Date
30 August 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

  • 915, Middle River Drive, Sunrise Key, Fort Lauderdale, Broward County, Florida, 33304, United States

    307

    FORT LAUDERDALE, FL 333043544

    Phone: (954) 701-2012

    Type: Location

  • 105, Royal Park Drive, Royal Palm Isles, Oakland Park, Broward County, Florida, 33309, United States

    4A

    OAKLAND PARK, FL 333095899

    Phone: (954) 701-2012

    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

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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 33304)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1316128200.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Fort Lauderdale, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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