Unknown Individual – Clinical Social Worker, NPI 1679592661

Unknown Individual is a healthcare provider. based in Saint petersburg, Florida. specializing in Clinical Social Worker. They hold a License No. SW2478 (FL). The NPI Number for Unknown Individual is 1679592661

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679592661
Phone
(727) 823-5555
Address
1300 DIXIE LN S
Deactivation Date
27 March 2025
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

Provider Addresses for Unknown Individual

  • 1300 DIXIE LN S

    SAINT PETERSBURG, FL 337073914

    Phone: (727) 823-5555

    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.

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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 33707)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1679592661 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Saint Petersburg, Florida as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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